Complaint Investigation Report

Regarding the allegations: 1.) Staff left resident in soiled diapers for an extended period of time. 2.) Staff does not meet the needs of resident in a timely manner. The Department received a complaint on 04/30/2024 alleging that staff did not change R1’s diaper in a timely manner leaving R1 in a soiled diaper for an extended period of time. During the physical plant tours on 05/02/2024 and 08/21/2024, LPAs did not observe any foul odors that may have indicated soiled diapers. LPAs observed pendants for each resident. Residents ring their pendant when they need to use the bathroom or if they need a diaper change. Interviews with staff and the Administrator revealed that staff change residents’ diapers 3 times a day or as needed. Interviews with residents reveal that staff do change their diapers as needed and do not leave residents with soiled diapers. Resident interviews revealed that staff do assist residents in a timely manner. Additionally interview with R1’s family member did not have any concerns regarding R1’s care. The information obtained during the investigation did not include evidence sufficient to corroborate the allegations. Although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are deemed Unsubstantiated at this time.

Regarding the allegation: 3.) Staff did not provide adequate food service to resident in care. The Department received a complaint on 04/30/2024 alleging that Resident #1 (R1) was served cold soup. During the physical plant tours on 05/02/2024 and 08/21/2024, LPAs observed sufficient amount of perishable and nonperishable food. Interviews conducted with residents revealed that residents had no complaints regarding the food and stated that they enjoyed the food that is served. Interviews with staff revealed that staff cook food that residents prefer. Staff stated that they always include fruits, vegetables, and protein for each meal and or snacks. Administrator provided photos of various meals served to residents to the LPAs. Additionally interview with R1’s family member did not have any concerns regarding R1’s food service. The information obtained during the investigation did not include evidence sufficient to corroborate the allegation. 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 deemed Unsubstantiated at this time.