Complaint Investigation Report

Eight out of ten staff/ witnesses deny a lack of incontinence care for any residents. Six out of six staff/ witnesses deny either observing bruises on R1 or indicated a bruise was from the integrity of the resident's skin due to the resident's condition and deny abuse. LPA observed residents dining at lunch time in the common area of the memory care unit. All staff interviewed indicated residents are brought out of their rooms for meals and witnesses corroborate this. Memory care unit averages a census of 13-14 residents daily. Facility schedule indicates staffing as follows: 2-3 caregivers/ 2 med techs/ Resident Services Director on first shift, and 2 caregivers/ 1 med tech on second shift and NOC shift. Facility has a full time nurse as well. Five out of eight staff/ witnesses indicate facility has suffered with staffing shortages but staffing levels appear better now. Three out of eight staff/ witnesses state there were not always two people available for a two person assist for R1. Due to conflicting information, LPA is unable to corroborate the allegations. Based on interviews conducted and observation during a tour of the memory care unit, the allegations are deemed to be Unsubstantiated, meaning that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violations did occur.

An exit interview was conducted and a copy of this report was provided to a facility representative.