Complaint Investigation Report

It was reported that staff is not assisting Resident # 1 (R1) with managed incontinence, as it was alleged that staff did not change R1 in a timely manner. Interviews and records review revealed that there were at least two (2) occasions when R1 was not changed in a timely manner. The facility administrator was notified by R1’s home health that R1 was observed to have wet sheets on 02/17/2020 and 02/18/2020. Interviews reflected that there was an evening where R1 in November 2021, where R1 was left in a soiled diaper for an extended period of time. Interviews also reflected that R1 preferred only certain caregivers assist and refused services until those caregivers were available. Moreover, it was revealed that R1 had an agreement that the caregiver’s of R1’s preference would assist with R1’s incontinent needs at 10:30am. R1 preferred staff to finish assisting other residents and complete their morning routine prior to assisting R1 due to liked staff to take their time assisting R1 which would last approximately 30 minutes to one (1) hour. Interviews conducted with other residents reflected that they had no concerns with incontinent care needs and staff routinely assisted residents every two (2) hours, or as needed. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is deemed Unsubstantiated at this time.

Exit interview conducted and copy of report issued.