Complaint Investigation Report

Regarding the allegation: Resident was raped by another resident in care. It’s being alleged that a resident was raped by another resident. LPA Spaeth interviewed eight caregivers/staff members (S1 to S8) and the Administrator who stated they have not witnessed this happen and a resident did not report to them this occurred. LPA Spaeth interviewed twelve residents (R1 – R12) who stated this did not occur to them, they did not witness this occurrence and also stated another resident did not inform them this happened. The resident mentioned in the complaint is no longer living at the facility and contact information was not provided to the facility staff when the resident moved out of the facility. Therefore, this allegation is unsubstantiated .

Regarding the allegation, Staff fail to meet resident's hygiene needs. It’s being alleged that the residents have not received showers, staff use the same loofah when assisting residents in the shower, and the loofah is never sanitized after each use. S1 – S8 unanimously stated when assisting residents with showering, a loofah is not used. A clean wash cloth and clean towel are used for reach resident. S1 – S8 also stated a shower schedule is followed each day. S1 – S8 are assigned specific residents with showering so that no one is overlooked. S1 – S8 also stated if a resident requests a shower each day, the staff are happy to accommodate their request. The Administrator stated the shower schedule was created to ensure all residents receive a shower twice a week. LPA Spaeth received a copy of the shower schedule.

During the facility tour at 10:15 am, LPA observed the shower room and there was no loofah in the room. Eight (8) out of the twelve (12) residents interviewed stated they receive assistance with showering and also unanimously stated a loofah is not used but a clean wash cloth and a clean towel are used. The eight (8) residents who receive assistance with showering stated they are assisted two times a week. The eight residents also stated staff never miss assisting them each week and stated if they ask for an additional shower day, the staff always accommodates their request. Therefore, the allegation is unsubstantiated .

Regarding the allegation, Staff failed to provide basic laundry services . Its being alleged that residents’ clothes and bed sheets have not been washed. It is also alleged that residents wear the same clothing for five days in a row. S1 – S8 stated the residents are encouraged to change their clothes each day and they have never witnessed a resident wearing the same clothes for five days in a row. S1 – S8 confirmed there is one caregiver who washes the residents’ clothing and bedding. S1 – S8 also confirmed the residents have not stated their bedding or clothing have not been washed. LPA interviewed the caregiver (S7) who confirmed they wash the residents’ clothing and bedding. S7 stated there are many times that a resident’s sheets might be washed more than one time a week due to accidents that occur in a residents' bed.