Complaint Investigation Report

Regarding the allegation “Staff handled residents in care in a rough manner” it was alleged staff have aggressively grabbed and pulled R1. According to R1, there was no bruising, staff grabbed R1's wrist roughly. LPA interviewed staff and residents on 03.20.2024 from 1:30 PM to 2:15 PM. Five (5) out of six (6) residents interviewed stated they had never experienced or witnessed staff handling residents roughly. Residents interviewed had no concerns about staff handling residents roughly or inappropriately. LPA interviewed the administrator and two (2) out of two (2) staff stated they do not handle residents roughly nor have they seen staff handling residents roughly. Staff interviewed stated they have not handled residents roughly nor heard of any other staff handling residents roughly.

Based on interviews, residents were not handled rough manner by staff. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

Allegation: Staff did not change resident timely

It was alleged that R1's diaper would be soiled and soaked, and R1 needed to yell and wait for staff to change their diaper. Interviews with the administrator and two (2) staff revealed that all residents are checked or changed at least every three (3) hours or as needed. Moreover, LPA was informed that five (5) out of six (6) residents when they ask for help with toileting needs the staff immediately would assist. LPA was able to interview five (5) out of six (6) residents regarding this allegation. Residents interviewed confirmed that they are assisted to be taken to the restroom whenever they request which has not been a concern.

Based on interviews, this allegation is deemed UNSUBSTANTIATED at this time.

Allegation: Staff did not shower resident timely

It was alleged that R1 would receive showers only once or twice a week and wanted more when needed. R1 stated that staff would ignore and refuse R1's requests for shower. To investigate the allegation LPA Leslie Ngo-Castaneda interviewed the administrator and two (2) staff out of two (2) staff and five (5) out of six (6) residents. Residents reveal that they are happy with staff help with shower care. Residents reveal that they never have any issues with showering. Hospice nurses help with R2 and R3 with showers. Staff interviews reveal that staff assist promptly and are fully staffed to assist residents with showers.