Complaint Investigation Report

In regard to the allegation “Licensee does not ensure facility is adequately staffed to meet resident's needs”, it is alleged that due to the lack of staffing residents are not being changed timely when they use the restroom leading to UTI and that residents requiring 2/3 people assist are not being helped due to staffing issues. During interviews with staff eight (8) out of nine (9) staff stated that they have enough staff members. S5 stated “We are always fully staffed. If we ever feel like we are busy our MedTech step in to and help”. S6 stated “Yea we usually have three to four care partners per shift. I feel there is enough most of Assisted living are independent”. During interviews with residents seven (7) out of ten (10) residents feel there is enough staff to meet their needs. R5 did feel there is not enough staff and response time is to slow when pendants are pushed.

In regard to the allegations “Staff are not providing adequate laundry services for resident's and “Staff leave residents in urine-soaked clothing for an extended period of time” it is alleged that due to lack of staffing residents’ laundry is not being completed and resident are being left in urine-soaked clothing for extended periods of time. During interviews with staff eight (8) out of nine (9) staff stated that they have a laundry schedule they follow, and they do a diaper check every two hours. S4 stated that if the needs and service plan indicate there is an incontinence problem they check more often. During interviews with residents nine (9) out of ten (10) residents felt that their laundry always gets done in a timely manner and have never been left or witnessed any resident in a urine-soaked clothing. R9 did state that he/she witnessed a resident in a wheelchair asking staff to be changed. During visit LPA observed multiple washers and dryers in both the memory care unit and assisted living unit. LPA did a walkthrough of several rooms and did not witness any urine-soaked laundry.

In regard to the allegation “Staff are not dispensing medications as prescribed”, it is alleged that staff is not disposing medication as required. During interviews with staff six (6) out of nine (9) staff stated that all medication is given as prescribed. S6 and S7 had no knowledge of how medication is dispensed. S4 stated “Sometimes we have pharmacy medication on hold for insurance reasons if it’s not covered”. During interviews with residents eight (8) out of ten (10) residents stated they are getting there medication as prescribed. R5 expressed the only problem was at noon time for eye drops. R6 stated only when they are away at mass that there not given medication and marked as a refusal. LPA checked medication for memory care unit and assisted living unit and no discrepancies were found.