Complaint Investigation Report

Allegation: The client is being abused and maltreated at the facility

The allegation alleges clients are ignored by staff, not being provided with food, not assisted with bathing, not assisted with grooming, not provided with their medications, and takes their money.

During the facility visit, LPA observed clients were clean and groomed. LPA observed clients coming to the medication room to get their medications. LPA observed staff escorting clients to the dining room for meals. LPA inspected the kitchen and observed it to be clean and sanitary. During the kitchen inspection, LPA observed a 3-day supply of perishable foods and a 7-day supply of non-perishable foods. LPA observed lunch and dinner being served. LPA observed an ample amount of food being provided and some residents were served seconds when requested. LPA reviewed the P&I for five (5) clients. LPA observed five (5) out of five (5) client’s monies is consistent with the client’s Record of Client’s Safeguarded Cash Resources.

LPA conducted a client file review for six (6) clients. LPA reviewed, Client C1’s Physician’s Report (dated 11/22/2024) and observed C1 is able to bathe self, dress and groom self, able to manage own cash resources, and is not able to administer own medications, not able to administer own PRN medications, and is not able to store own medications. LPA received and reviewed Client C1’s Appraisal/Needs and Service Plan (dated 12/23/2024) that indicates C1 handles their own finances, is able to do their own ADLs with minimum assistance. LPA received and reviewed the Client Shower Schedule that has C1 listed for assistance with showers twice a week.

LPA conducted a medication review for six (6) clients. LPA reviewed Client C1-C6’s Physician Orders, MAR, and medications. LPA observed six (6) out of six (6) clients’ medications are consistent with properly documented records.

During interviews with Staff S1-S5, were asked if any clients in care have been abused or neglected, five (5) out of five (5) stated no, to their knowledge no clients have been abused or neglected. Additionally, Staff S1-S5 were asked if any client or their family have reported abuse or neglect, five (5) out of five (5) no clients or their family has reported abuse or neglect.

During interviews with Clients C1-C7, were asked if staff have abused or neglected them, six (6) out of seven (7) stated they have not been abused or neglected by staff. No details were provided when client was asked about abuse or neglect. Additionally, during interviews with Client’s C1-C7, were asked if they receive their medications as prescribed, seven (7) out of seven (7) stated they receive their medications as prescribed. Client’s C1-C7, were asked if they receive ample amounts of food, seven (7) out of seven (7) stated they receive three (3) meals a day, snacks, and food is always available. Additionally, during interviews with