Complaint Investigation Report

The investigation revealed the following : Allegation #1- Staff do not ensure urinary catheter is emptied for resident in a timely manner.

The details of the complaint alleged that the facility admitted a new resident (R3) that wears a urinary catheter bag, and the care staff are neglecting to assist the resident with emptying the bag when it gets full causing the urine to leak all over the facility when the resident walks around causing the facility to smell of urine. On 11/20/23, from 09:00am-4:00pm, LPA interviewed staff (S1-S8) and residents (R1-R9) regarding the allegation. 7 of 8 staff denied the allegation that the Staff do not ensure urinary catheter is emptied for resident in a timely manner. 7 of 8 staff that were interviewed stated that the resident (R3) does not have a catheter but has incontinence issues. One staff had no knowledge of the resident. They state that the staff never neglects (R3) in any way. The resident is always assisted by the caregivers with bathing, showering, grooming, and changing R3s adult briefs, stated S1. LPA reviewed the Physicians Report (Dated: 10/30/2023) and it did not indicate that R3 had a urinary catheter. LPA reviewed the Weekly Shower/Laundry Schedule (Dated: 11/20/2023) and it indicated that the resident is scheduled to take daily showers and have their laundry cleaned daily as well. The majority (7 of 8) staff that were interviewed, indicated that the resident needs to be encouraged to take the scheduled showers, and that they assist the resident in taking the showers.

LPA interviewed residents R1-R9 about the allegation and 7 of 9 residents that were interviewed denied the allegation that Staff do not ensure urinary catheter is emptied for resident in a timely manner. Residents stated that they have not noticed any urine in the hallways or a smell of urine in the facility because of one resident. They also state that they do not know if the resident (R3) has a catheter or not.

Based on interviews and records reviewed, there is insufficient evidence to support the allegation that the Staff do not ensure urinary catheter is emptied for resident in a timely manner. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated .

Allegation #2- Staff do not ensure resident receives assistance with activities of daily living.

The details of the complaint alleged that the staff does not ensure the resident receives assistance with activities of daily living causing the client to smell of urine. In that they don’t make sure the client is bathed, groomed, and in fresh clothing. On 11/20/23, from 09:00am-4:00pm, LPA interviewed staff (S1-S8) and residents (R1-R9) regarding the allegation. 8 of 8 staff (S1-S8) denied the allegation that the Staff do not ensure resident receives assistance with activities of daily living. All staff (S1-S8) stated that resident (R3) is assisted with activities of daily living that involve showering, grooming, and washing the residents clothing. They stated that although the resident has incontinence problems the resident is not neglected and that the caregivers are changing the residents’ adult briefs and assisting the resident with showering, daily. LPA reviewed the Weekly Shower/Laundry Schedule (Dated: 11/20/2023) and it indicated that the resident is scheduled to take daily showers and the residents’ laundry is done daily. They also state that the resident does need to be encouraged to take the scheduled showers but does assist the resident in maintaining R3s hygiene.

Complaint Investigation Report continued on LIC9099-C