Complaint Investigation Report

The following documents were provided and reviewed by LPA Randle: Resident Roster, Staff Roster, Copy of resident file for (C1) including physicians’ reports, Dr's notes and orders, MARs nursing notes, feeding schedules, bowel and bladder schedules, body check notes, hospital records/discharge records, staff training logs re G/J tube. On 10/05/2023 LPA conducted follow-up interviews with (5) staff members and attempted to interview (2) out of (2) Clients.

The Investigation Revealed The Following.

Allegation: Staff are not meeting resident's G-tube needs

LPA interviewed staff. S1-S4 all staff denied the allegation: Staff stated the G-tube is sometimes pulled on by client causing issues such as partial movement and redness. Per LPA's review of Client #1’s medication administration records (MAR) and interview with four staff (S1-S4), an adhesive cream is applied to the G-tube as prescribed and as needed after cleaning the G-tube. Staff S1-S5 stated they are trained to assist Client #1 with G-tube care and maintenance. Client is seen by a physician weekly regarding medical issues Client 1 was not able to provide comprehensible feedback during the investigation due to medical issues. Based on observations, records reviews and interviews, there is no sufficient evidence to support or corroborate the above allegation.

Allegation: Staff are not meeting resident's diapering needs

LPA interviewed staff. S1-S5 all staff denied the allegation: Staff are not meeting resident's diapering needs. Staff S1-S5 stated they are trained to assist all Client’s with activities of daily living (ADL) as well as diapering needs. Interviews with Staff, S1-S5 staff stated Clients are checked and changed throughout the day after each incident of soiling. Staff would change diapers the diaper checked and change if needed. Staff S1-S5 stated they never leave residents in a soiled diaper. LPA Randle reviewed notes that revealed body checks and changing. when needed. Interviews conducted and records reviewed did not concur or support the above allegation. Client 1 was not able to provide comprehensible feedback during the investigation. Client 2 was interviewed and stated Staff does assist client when needed and has no complaints regarding ADL or staff care, client also stated to LPA he likes living at the facility. Based on observations, records reviews and interviews, there is no sufficient evidence to support or corroborate the above allegation.