Complaint Investigation Report

Allegation: Staff did not assist resident with hygiene needs. – Unsubstantiated.

The Department interviewed a total of five (5) facility staff and reviewed four (4) resident records. Interview with staff (S4) indicated that Memory Care residents sometimes refuse assistance with hygiene needs, but the facility staff will follow up with resident later to make sure hygiene needs are made up for that same day. Three (3) facility staff indicated staff assist residents with hygiene needs by assisting residents with brushing their teeth in the morning and remind residents to wash their hands with soap after going to the toilet.

Allegation: Resident was not provided with adequate incontinence care. – Unsubstantiated.

Statement received from Complainant indicated that facility staff failed to provide adequate incontinence care to four (4) residents. Complainant stated facility staff are not changing residents’ depends, leaving residents soaked in urine and feces. The Department interviewed a total of five (5) facility staff and reviewed four (4) resident records. According to residents’ Physician’s Report, R1 and R2 have bowel and bladder impairment. R1 and R2 use depends and are unable to care for their own toileting needs. R1’s Level of Care Assessment was completed on 02/28/2022. Assessment indicated R1 requires 1-person total assistance with toileting. R2’s Level of Care Assessment was completed on 05/03/2022. Assessment indicated R2 requires stand-by assistance while toileting. R3 and R4 do not have bowel or bladder impairment. According to R3’s Assessment, which was completed on 11/24/2021, R3 requires 1-person total assistance with toileting. Interview with S3 indicated, Memory Care residents can be combative at times which can make it difficult for staff to provide incontinence care. Staff would try their best to redirect and convince residents to allow incontinence care. LPA received consistence statement from facility staff indicating that rounds are conducted every 2 hours to make sure residents care is being met.

Allegation: Staff left the facility and residents were left unattended. - Unsubstantiated.

Statement received from Complainant indicated two facility staff, S1 and S2, from Memory Care Unit had walked-off their scheduled shift, leaving residents without care and supervision. Interview statement received from S3 indicated a facility staff (S4) had witnessed S1 and S2 leave the community and reported S1 and S2 to management. Interview statement received from S5 indicated that S5 has worked the same shift as S1 and S2 and did not witness the two staff leaving their shift. According to Executive Director and Generations Program Director, they have never witness staff walk-off from duty at Memory Care Unit.