Complaint Investigation Report

Regarding: Staff does not ensure resident’s diapering needs are being met.

It is alleged that staff only change resident’s diaper three times a day in a 24-hour period. It is also alleged that families have complained that resident’s diaper should be changed more than three times a day.

Staff deny the allegation. Interviews with (5) out of (5) staff revealed that residents’ incontinence care (diapering) is being conducted more than three times a day in a 24-hour period. Staff indicated that every staff shift begins with rounds which consist of providing incontinence care for residents. Staff indicated that incontinence care is done every one to two hours and when needed in between scheduled checks. Staff also indicated that staff ensure that residents that require a higher level of care are checked and changed more frequently, and that independent residents who can do their own incontinence care are observed and assisted if requested. Staff further stated that they have not received any complaints from family members of residents regarding incontinence care. Four (4) out of (5) staff stated that they check the resident logbook during their shift to check notes documented by staff who previously cared for residents to continue meeting diapering needs appropriately throughout the day. Record review indicated that staff document incontinence care after it is conducted by indicating the date and time of the event, and the name of the resident and the staff who performed the task. Records also indicated that no more than two hours pass between diapering and other personal hygiene tasks. LPA inspected the incontinence storage room and observed sufficient supplies of incontinence care items for residents. Interviews with (8) out of (10) residents revealed that their incontinence needs are being met appropriately and that staff check in on them often throughout the day. Two (2) out of (10) residents indicated that they do not need help from staff to conduct their “diapering;” however, staff provide them with the supplies they need to conduct their personal hygiene. Staff and resident interviews, record review and observations do not corroborate the allegation that staff are not ensuring that diapering needs are not being.