Complaint Investigation Report

Regarding: Staff do not ensure resident's bed is in good repair.

It is alleged that resident’s mattress was completely soaked and the bed was broken. It is also alleged that it was reported to staff, but staff have not done anything about it.

Staff deny the allegation. Interviews with (11) out of (11) staff indicated that residents’ beds are in good repair and mattresses are monitored daily for cleanliness during wellness checks, incontinent care and housekeeping visits. Staff indicated that if beds are worn out, or become damaged, they are replaced immediately. Staff indicated that residents have not complained regarding having a broken bed or a soiled mattress. Seven (7) out of (11) staff indicated that mattresses are protected against spills with mattress covers which are cleaned and sanitized when they become soiled. Staff indicated that bedding is changed (3) to (4) times a week or as needed. Staff indicated that R1 puts extensive wear and tear on their bed and mattress during transfers; however, the facility has changed them out when needed. Staff further indicated that R1 has not complained about their bed being in disrepair or their mattress being soiled. Interview with R1 indicated that they have no concerns with the condition of their bed and mattress. LPA inspected (12) rooms (including R1’s) with (2) beds each and found the beds and mattresses to be in good repair. Beds had mattress pads, fitted sheets and were observed to be dry. Interview with (11) out of (11) residents indicated that their mattress and bed are in good condition and did not have concerns. Interview with R1’s Power of Attorney (P1) indicated that they visit R1 at the facility four times a week and has not observed any issue with R1’s mattress and bed. P1 indicated that R1 has worn out the mattress in the past, but facility staff changed it as soon as P1 requested it. P1 stated that during their visits, the mattress and bedding is clean and dry. P1 stated that R1 is doing well at the facility and staff are doing a good job in caring for R1. Staff and resident interviews, interview with P1 and LPA observations could not corroborate the allegation that resident’s mattress was completely soaked and their bed was broken.

Regarding: Staff do not ensure resident's showering needs are being met.

It is alleged that resident smelled badly and that resident had been asking staff to bathe them for one week and they would not do it.

Staff deny the allegation. Interview with (8) out of (8) staff indicated that residents are bathed (2) times a week or more if needed. Staff indicated that R1 receives bathing assistance from staff; however, R1 sometimes refuses to bathe. Staff indicated that residents cannot be forced to bathe, but R1 is encouraged to do so (3) to (4) times during scheduled bath/shower days. ***Continues on LIC 9099-C page 2***