Complaint Investigation Report

The details of the complaint alleged that the facility on 12/29/2022, left R1 in a soiled diaper because the facility is understaffed resulting in R1’s needs not being met. On 04/17/24, from 09:30am-02:00pm, LPA interviewed staff (S1-S5) and residents (R1-R10) regarding the allegation. R1 could not be interviewed because R1 has passed away. However, a family member of R1 was interviewed. 5 of 5 staff denied the allegation that Staff do not meet resident's incontinence needs. All staff (S1-S5) stated that all residents who are incontinent have personal care checks every two hours or more depending on the resident and their care plan. The staff also noted that R1 had a Personal Assistance Liaison assigned to R1 because R1 needed more one on one assistance. LPA examined the facilities PAL Approach Chart and Services log for R1 and observed that R1’s incontinence needs were being met and charted by staff with the date and times R1 needed assistance. LPA interviewed R1-R10 about the allegation and 9 of 10 residents that were interviewed denied the allegation that Staff do not meet resident's incontinence needs. Residents stated that they did not have any problems with the staff assisting them with their personal care needs; and that they were satisfied with their care and supervision at the facility.

Based on interviews and records reviewed, there is insufficient evidence to support the allegation that Staff do not meet resident's incontinence needs. 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 .

Allegation # 2- Staff do not meet resident's dietary needs.

The details of the complaint alleged that the facility did not serve R1 breakfast or lunch on two occasions because the staff did not have the time to do so. On 04/17/24, from 09:30am-02:00pm, LPA interviewed staff (S1-S5) and residents (R1-R10) regarding the allegation. R1 could not be interviewed because R1 has passed away. However, a family member of R1 was interviewed. 5 of 5 staff denied the allegation that Staff do not meet resident's dietary needs. All staff (S1-S5) stated that R1 was served meals three times per day in addition to snacks, water, and other fluids throughout the day. The resident was never denied meals, according to staff. LPA interviewed R1-R10 about the allegation and 9 of 10 residents that were interviewed denied the allegation that Staff do not meet resident's dietary needs. Residents stated that they were happy with the care and supervision being provided to them, and that their dietary needs are being met. They also stated that they get more than enough food and fluids throughout the day from staff.

Based on interviews, there is insufficient evidence to support the allegation that Staff do not meet resident's dietary needs. 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 .