Complaint Investigation Report

The allegation of “Staff do not ensure resident toileting needs are met in a timely manner” alleges that, facility staff leave residents in soiled diapers for extended periods of time. LPA interviewed facility residents who expressed concerns in the amount of time it takes facility staff to respond to resident’s requests for assistance. Resident #1 (R1) stated that they have been left in a soiled diaper overnight on multiple occasions due to staff not assisting residents at night. LPA interviewed two (2) facility caregivers. The caregivers interviewed stated that their shift ends at 06:00 PM on the days they work and that the facility Administrator provides care to the residents during the night until shift start at 06:00 AM. The facility staff members stated that they do not remain at the facility after their shift ends. One (1) staff member interviewed confirmed that in the past at the start of their shift (06:00 AM) they had observed facility residents in diapers that were soiled during the night and not changed. LPA interviewed the Administrator who stated that they remain awake until 12:00 AM and will perform checks on the residents during the night. Based on the information obtained during interviews there is sufficient evidence to support the allegation of “Staff do not ensure resident toileting needs are met in a timely manner” Therefore, the allegation is deemed Substantiated at this time.

The following deficiency was cited (refer to LIC 9099D). A copy of the report was printed, appeal rights were provided, and exit interview was conducted.