Complaint Investigation Report

Allegation: Facility failed to provide proper incontinence care

To investigate this allegation, LPAs conducted an interview with the Administrator, Memory Care Director, Nurse and one (1) staff member and were informed that the facility provides at least two (2) showers per week and staff checks on residents every two (2) hours. However, interviews with four (4) out of six (6) residents revealed that the facility staff does not provide proper incontinent care and residents stay soiled for extended period of time. Based on interviews, this allegation is deemed Substantiated.

To investigate this allegation, LPAs conducted visits to random resident rooms in a Memory Care unit and conducted an interview with a Memory Care Director and one (1) staff. Interviews with staff reveal that rooms are cleaned, and linen gets changed every day. However, upon entry to three (3) out of four (4) rooms LPAs noticed an odor. LPAs advised Memory Care Director, that although the rooms are cleaned in the morning, and the linen gets changed, staff should also be instructed to open some windows for ventilation and allow for air to circulate and relieve the rooms of foul odors, caused by resident incontinence. Based on LPAs observation of the physical plant, the allegation is Substantiated .

Exit interview conducted. Appeal rights explained and copy of this report signed and delivered.