Complaint Investigation Report

Allegation: Staff did not meet the resident's diapering care needs in a timely manner.

It is alleged that facility staff are refusing to change residents diapers as residents can wait up to 4 hours for assistance. On 05/07/26 LPA conducted Interviews with R1-R7 regarding the allegation above. 2 of the 7 residents interviewed denied the allegation above and reported staff have not refused to assist with incontinence care. 5 of the 7 residents interviewed reported that they do not require assistance with incontinence care as they can do it themselves. On 05/07/26 LPA conducted interviews with S1-S5 regarding the allegation above. 4 of the 5 staff interviewed denied the allegation above and reported that residents are provided with incontinence care assistance 2-3 times per shift or as needed. Additionally staff report that rounds/checks are conducted every 2 hours. 1 of the 5 staff interviewed reported having no knowledge of the allegation above as they do not provide direct care to residents. On 05/07/26 LPA conducted a review on documents obtained for R1. Per physicians report dated: 02/27/26, R1 requires diapers and needs assistance with toileting needs. Per R1's appraisal dated: 03/06/25 R1 requires assistance with continence, bowel, and bladder control. Per R1's individual service plan dated: 03/11/26 R1 is occasionally incontinent to both bladder and bowel but usually declines wearing pull ups.

Allegation: Staff did not clean the resident's room in a timely manner.

it is alleged that facility staff complain about the incontinence smell and do not to assist.

On 05/07/26 LPA conducted Interviews with R1-R7 regarding the allegation above. 5 out of the 7 residents interviewed denied the allegation above and reported that their bedrooms are cleaned daily. 1 of the 7 residents interviewed reported being unaware of how often their bedroom is cleaned, 1 of the 7 residents interviewed reported that their bedroom is cleaned once a week. On 05/07/26 LPA conducted interviews with S1-S5 regarding the allegation above. 4 of the 5 staff interviewed denied the allegation above and reported that resident bedrooms are cleaned every day, 1 of the 5 staff interviewed added that 5 bedrooms are deep cleaned daily. 1 of the 5 staff interviewed reported having no knowledge of the allegation above as they do not provide direct care to residents. On 05/07/26 LPA conducted a review of housekeeping schedule, per schedule there are 3-4 staff each day from 6am-4pm who oversee facility cleaning which includes resident bedrooms.

Allegation: Residents are not provided meals that consist of an appropriate variety of foods.

It is alleged that facility is mostly serving Filipino foods which is causing resident in care to have diarrhea