Complaint Investigation Report

Interview with Staff #1 (S1) at 9:00 a.m. and Staff #2 (S2) at 9:10 a.m. on 05/07/26 revealed they have never seen dried feces on R1. Staff stated they change R1 about every three (03) hours. The investigation revealed only R1 and one (01) other resident, Resident #2 (R2), required incontinence care from staff. Interview with Resident #2 (R2) at 9:20 a.m. on 05/07/26 revealed they are changed frequently and had no issue with staff care. Record review of R1’s medical assessment and care plan revealed they were incontinent for their bowels and bladder and required “substantial” assistance with toileting. The plan did not specify frequency of changing. Based on interviews and record review, although R1 requested more frequent changing, staff followed R1’s care plan. The investigation did not reveal sufficient evidence to verify that R1 was covered in dry feces. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

Regarding the allegation "Staff do not treat resident with dignity" it was alleged staff are “divisive and rude” towards R1. Interviews with four (04) out of five (05) residents on 05/07/26 revealed they have good relationships with staff and are treated well. Interview with S1 and S2 revealed they treat R1 with respect. R1 yells and cusses at them. Interview with R1 revealed they did not get along with S1 or S2 when they arrived to the facility in March 2026. R1 eventually warmed up to staff and now has a good relationship with them. LPA did not observe staff being rude during the facility visits on 05/07/26 an today. Based on observations and interviews, there is not enough evidence to verify that staff treated a resident without dignity. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

No immediate health or safety concerns observed during today’s visit.\

Exit interview conducted. Copy of report provided.