Complaint Investigation Report

Seven out of seven staff state resident was being assisted but was refusing meals as well as water and tea. Facility charting notes shows staff were documenting amounts of food consumed as well as refusals.

Regarding the allegation that staff are socializing and not providing care and supervision, the investigation revealed the following: Six out of seven staff state staff were not socializing in R1's room. S2 and S3 deny any socializing in the room.

Regarding the allegation that laundry was not done appropriately, the investigation revealed the following: Laundry is done on AM/ PM shift and laundry is put away on NOC shift. Five out of five staff state doing laundry effectively and are not aware of any items becoming gray from laundering. LPA observed the laundry facilities and each wing does their own laundry and has their own machine to prevent items becoming mixed up.

Regarding the allegation that staff are not trained on care plan for a resident, the investigation revealed the following: Five out of five staff state being aware of resident needs and requirements through their job and observing notes and shift change. R1's responsible party provided a list of expectations to staff that were not items on the care plan and were merely requests including certain TV shows and exercise at specific times.

Regarding the allegation that there is no staff supervision on weekends or overnight, the investigation revealed the following: Facility schedule shows 6 caregivers and 2 med techs on 1st and 2nd shift and med tech and 2 caregivers on NOC. Facility states filling call outs with overtime. Seven out of seven staff state staffing is fine and resident needs are being met.

Regarding the allegation that staff did not address resident's personal hygiene, staff did not meet a resident's incontinence needs and staff did not follow care plan to assign a female for showering, the investigation revealed the following: Seven out of seven staff state R1's needs were being met. Incontinence care is provided at a minimum 3 times a shift. Initially R1 was independent of toileting but as the resident declined, more assistance was needed. All staff interviewed denied resident was not provided incontinence care or showering. Facility does not have shower records as facility changed systems prior to complaint. Staff state that initially a male caregiver would shower R1 but after family requested a female, the male did not provide showering. Seven out of seven staff deny a male caregiver showered the resident after the request.