Complaint Investigation Report

During interviews with Staff #1 (S1) it was revealed that they never observed residents experiencing allergy symptoms due to the HVAC system. S1 informed LPA that they never observed dust coming from the vents and that they changed the filters monthly. Staff #2 (S2) revealed that there was no major work done to the air conditioning unit prior to March 2, 2023, besides routine filter changes. 2 of 2 staff informed LPA that staff change HVAC filters themselves. Therefore, the allegation has been deemed Unsubstantiated.

Regarding the allegation Staff do not ensure that fire exits are free of obstruction, LPA toured the physical plant and did not observe any obstructions at the time of the investigation, including in room #1. Two of two staff informed LPA that they do not recall obstructions at the facility, but if an obstruction is observed staff are to remove the obstruction immediately. Therefore, the allegation has been deemed Unsubstantiated.

Regarding the allegation Saff did not ensure resident’s hygiene needs are being met, LPA reviewed a physician’s report for Resident 1 ( R1) dated October 10, 2022, stating they have bowel and bladder impairment. The physicians report also states that R1 is unable to bathe themselves or care for their toileting needs. A needs and services plan was not produced to LPA upon request due to the facility not having R1s records. LPA reviewed four of four staff have current training on personal care services for residents. During interviews with R1s responsible party it was revealed that R1 was always clean. During interviews with S1 it was reported that staff checked on R1 every couple of hours and cleaned regularly. S1 reported they never observed a stench coming from R1. Therefore, the allegation staff did not ensure resident’s hygiene needs are being met is deemed Unsubstantiated.

Regarding the allegation Staff did not seek medical attention for resident in a timely manner, LPA observed a Bowel Movement Record for R1 for the month of January 2023. LPA reviewed records of R1s bowel movements and observed that on January 11 th and 25 th , R1 had a bowel movement with blood. Two of two staff informed LPA that they reported the bowel movements with blood to R1s Responsible Party. One of two staff informed LPA that R1s responsible party took them to the doctors due to the blood found in R1s stool. R1s Responsible Party informed LPA that they were not told about blood in R1s bowel movements but was struggling to remember. LPA did not observe documentation on reporting to R1s physician or responsible party. Therefore, the allegation has been deemed Unsubstantiated.