Complaint Investigation Report

Allegation: Staff did not ensure resident's incontinence needs were being met

The complaint alleges that during the period of 5/17/25 - 5/18/25 the staff “were not changing and cleaning R1.” On 5/28/25 at 11:56 am, LPA interviewed Administrator (A1) who denied allegation stating that staff tends to all residents’ incontinent needs, "they are always changed when they need to be and the staff constantly check to see if the resident needs changing." A1 further stated that “As long as they are wet, the staff will change them at once.” Lastly, A1 informed LPA that the staff checks the residents every hour.

On 5/28/25, between 9:30am and 1:00pm, LPA interviewed 2 staff (S1-S2)regarding the allegation and (2) out of (2) staff denied the allegation stating; residents are changed on a regular basis, and they are check often and changed at least 4 times a day depending on the need. (2) out of (2) staff stated that they have adequate training on how to care for residents who are incontinent. On 5/28/25, between 1:00pm and 2:00pm, LPA interviewed 3 Residents (R2-R4)). R1 and R5 could not be interviewed as R1 no longer resides at the facility and R5 is nonverbal. Of those interviewed, 3 out of 3 residents denied the allegation, stating that staff change them on a regular basis, and they are never left wet for a long period of time. On 5/28/25, LPA reviewed staff training regarding care for incontinent residents, which indicates that they have knowledge of how to care for residents who are incontinent.

Based on the information gathered, there is insufficient evidence to support the stated allegations