Complaint Investigation Report

In regards to the allegation "Residents sustained multiple wounds due to neglect" it is alleged that

C2 and C4 have multiple scabs and wounds throughout their bodies. (6) of (6) Staff interviewed denied the allegation. (12) of (13) Clients interviewed could not corroborate the allegation. Details provided to LPA stated that C2 scabs and scars completely covering their bodies. When LPA attempted to interview C2, C2 refused to answer LPA's questions. LPA did not observe scab wounds covering the visible body parts of C2. Details provided regarding C4 state that had a large infected scab on their head. LPA observed C4 to have a scab on the top of their head. C4 explained to LPA that they had cut their skin accidentally when shaving their head. C4 did not notify staff of the wound as it was healing on its own and do not want assistance. C4 stated that they had been shaving their head on their own for years. C4 stated they have no other wounds on their body. Interviews with staff confirmed the same information. File review shows that C4 is able to care for their own grooming needs. File review does not show any documentation of either C2 or C4 sustaining multiple wounds around their bodies. Based on interviews, file review, and observations conducted 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 UNSUBSTANTIATED.

In regards to the allegation "Resident sustained multiple falls due to lack of supervision" is is alleged that C1 had a stroke that had not fully healed causing them to fall often when staff supervision was required. (6) of (6) Staff interviewed denied the allegation. (13) of (13) Clients interviewed could not corroborate the allegation. C1 denied having a stroke ever in their life and that they constant staff supervision. C1 denied having falls in the facility. Staff interviewed stated that C1 has not had a stroke and has not had any falls in the facility. File review does not show that C1 has had a stroke or any falls in the facility. LPA observed C1 to be ambulatory and walking throughout the facility on their own. Based on interviews, file review, and observations conducted 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 UNSUBSTANTIATED.

In regards to the allegation "Facility staff do not ensure resident eats meals regularly" it alleged that staff are not ensuring that C3 is eating meals in the facility. (6) of (6) Staff interviewed denied the allegation. (13) of (13) Clients interviewed could not corroborate the allegation. Interview with C3 stated that they do eat regularly in the facility but there are times when they prefer not to eat at certain times. Staff interviewed stated they are not aware of any problem regarding C3 not eating in the facility. Interviews shows that it is C3's personal choice to not eat and they cannot be forced to eat meals..... Continued on LIC 9099-C