Complaint Investigation Report

Regarding allegation: Facility has bed bugs. It is alleged, a resident was observed by medical staff whom indicated resident appeared to have been bitten by bed bugs. 10 out of 10 resident interviews revealed the residents are unaware of bedbugs in the facility. 7 out of 7 staff interviews revealed that the facility is free of pests including bedbugs. Interviews with Administrator revealed monthly pest control invoice show no detection of pests. LPA observed bedding and linens on beds to be clean and no bed bugs were seen today. Review of pest control invoices indicate monthly pest control checks are made to the facility, no pests found on both visits according to Pest Control Company dated 2/26/24 and 3/14/24.

Regarding allegation: Resident's Representative was prohibited from installing a safety bed alarm for resident. It is alleged that resident family requested a bed alarm be placed on resident bed due to resident falls, however, the staff delayed processing the request and ignored the request. 10 out of 10 resident interviews revealed they are not aware of this. 7 out of 7 staff interviews revealed bed alarms are placed only after physician’s order is reviewed and verified. Interview with Administrator revealed R1’s physician report dated 10/22/2021 revealed no written order for bed alarm was given. The report indicates use of low bed, therefore bed alarm was not approved by physician. No written order on file.

Regarding allegation: Resident was forced to wear diapers while in care. It was alleged, staff placed adult briefs on resident in order to keep resident in bed during the time resident bathroom access was blocked.

10 out of 10 resident interviews revealed they are not forced to wear adult briefs. 7 out of 7 staff interviews revealed if there is a physicians order on file only then can staff provide adult briefs/ diapers to residents. Interviews with Administrator revealed the residents are provided adult briefs only upon physician’s orders and as indicated in Needs and Service plan, Physicians report for R1 dated 10/22/2021 recommended use of adult briefs due to use Foley catheter and to prevent resident from soiling self.