Complaint Investigation Report

Based on record review and interviews conducted, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the above allegation has been Unsubstantiated.

Allegation: “Staff leave resident in soiled incontinence briefs.” It is being alleged that a resident is left in soiled incontinence briefs for hours at night. On 05/12/26, the department conducted interviews with S1-S6. Of those interviewed, 6 out of 6 staff denied the allegation. 6 out of 6 staff said residents are changed every two hours and as needed.

On 05/12/26, the department conducted interviews with R2-R6, and on 07/28/26, the department conducted an interview with R1 and R7. Of those interviewed, 7 out of 7 residents could not corroborate the allegation. 4 out of 7 residents said they do not require any assistance with incontinence care, while 3 out of 7 residents said they do. Of the 3 residents who require assistance, 2 reported that they had not been left in soiled incontinence briefs for an extended period of time, and 1 resident did not respond to the question. 7 out of 7 residents said they are satisfied with the services provided to them at the facility.

Based on observation and interviews conducted, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the above allegation has been Unsubstantiated.

An exit interview was conducted, and a copy of this report has been provided to Anita Csukardi.