Complaint Investigation Report

Allegation: staff handled resident in a rough manner

The complaint allegation alleges that during a diaper change, a resident could be heard crying due to caregiver being rough.

During record review at the facility, LPA reviewed training logs and in-service logs for Mandated Reporting conducted on 04/11/24. LPA reviewed staff’s SOC341 which they signed stating they would report any suspected abuse. LPA received and reviewed Clients Physician Report and Individual Person-Centered Plan (IPP), stating C1 communicates their dislike of activities which are necessary to meet physical needs by vocalizing. During the facility visit, LPA observed C1 and C2 being assisted with changing and observed C1 and C2 vocalizing their dislike of the changing. LPA observed staff properly assisting clients during the changing. Additionally, LPA observed C1 being transferred from their bed to their wheelchair by staff using a Hoyer lift. During the transfer C1 was communicating their dislike of the transfer through vocalization.

During interviews with Staff S1-S7, were asked if they have or have observed staff handle client in a rough manner, six (6) out of seven (7) stated they have not nor have they observed staff handle clients in a rough manner. Additionally, during interviews with Staff S1-S7, were asked what they would do if they observed a staff handle a client in a rough manner, seven (7) out of seven (7) stated they would report it. During interviews with Staff S1-S7, were asked if they have heard a client cry while being assisted with changing, seven (7) out of seven (7) stated there are