Complaint Investigation Report

In regards to the allegation "Resident fell while in care" it was alleged that R2 fell in the facility and staff did not assist them. (8) of (8) Staff interviewed denied the allegation. (6) of (6) Residents interviewed could not corroborate the allegation. Interviews do not show that R2 has fallen anytime recently and needed to shout for help. Staff denied that they would refuse to assist any resident in care. File review did not show documentation of R2 having a fall resulting a cut on their forehead. R2 did not state they had a fall and needed to scream for help. Interviews with residents state that staff assist residents when they are in need. Based on interviews, file review, and observation; 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

In regards to the allegation "Resident's sustained injuries while in care" it was alleged that facility staff scratched R1 while moving them. (8) of (8) Staff interviewed denied the allegation. (6) of (6) Residents interviewed could not corroborate the allegation. Interviews with staff deny having scratched R1 while assisted them in and out of bed or when assisting them with their grooming needs. LPA was not provided with proof that any staff had scratched R1. Files reviewed by LPA do not show that staff had scratched R1 as there are no notes documented regarding injuries while assisting resident. Based on interviews, file review, and observation; 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

In regards to the allegation "Staff left resident in soiled diapers for extended period of time" it was alleged that Staff were not changing R1 frequently as needed. (8) of (8) Staff interviewed denied the allegation. (6) of (6) Residents interviewed could not corroborate the allegation. Interviews with staff state that staff changed R1 3-5 times a day as incontinence care was part of their service. Staff would not refuse or deny changing R1 but stated that there are many residents that require assistance and so staff could not always change R1 at the moments that R1's family requested. LPA reviewed R1s care plan and it does not specify a number of times R1 needs to be changed. LPA did not observe R1 left in soiled diapers during initial visit. Based on interviews, file review, and observation; 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