Complaint Investigation Report

LPA's review of Unusual Incident Report submitted by administrator to Community Care Licensing (CCL) revealed R1 had a change in condition and now requires assistance with incontinent care. LPM observed one (1) staff on duty in the designated memory care unit which houses twenty-five (25) residents, of which fifteen (15) have cognitive impairment according to the administrator. Staff #1(S1) had to call another staff not already in the memory care unit for assistance. LPM interview with S1 revealed S1 is a med-tech and a caregiver. At the time of the interview S1 was working in the capacity of a med-tech and not as a caregiver. In addition, LPM observed resident #2 (R2) in room #109 calling out for assistance requesting assistance with incontinent care. LPA's review of Unusual Incident Report submitted by administrator revealed R2 had a change in condition and now requires assistance with incontinent care. LPA Rios interview with administrator Jessica at approximately 11:50 a.m. revealed staff are expected to log the times they assist residents with bathing. According to Jessica residents that require assistance with bathing, are bathed twice a week. According to Jessica, staff have been known to not document consistently when they assist residents with hygiene. The facility uses an electronic database Caring Data to log hygiene assistance provided to residents.

Based on observation, record review and interviews conducted, the above allegation is found to be SUBSTANTIATED at this time. Deficiencies cited (refer to 9099-D).

Exit interview was conducted with administrator. A copy of the report and appeal rights provided.