Complaint Investigation Report

Interview with three (3) of three (3) residents indicated that staffs at the facility are ensuring that they are kept clean and dry at all times. Six (6) of six (6) staffs interviewed stated that they are checking on their residents at least every two (2) hours to make sure that they are kept clean and dry and every hour for other residents. Six (6) of six (6) staffs interviewed revealed that there's no incident at the facility that a staff did not ensure R1 was kept clean and dry at all times. During the facility visit on 12/05/2024 and 03/04/2025, LPA Brown observed staffs at the facility checking on their incontinent residents to ensure that they are kept clean and dry.

Second allegation: Staff do not ensure resident receives colostomy care in a timely manner. The investigation was conducted by LPA Melody Brown which consisted of file review, observation and interviews with relevant parties. During the investigation, LPA Brown was not able to obtain sufficient evidence to support that staffs are not ensuring that resident received colostomy care in a timely manner. LPA Brown interviewed R1 and R1 indicated that staffs at the facility are ensuring that R1 receives colostomy care in a timely manner. In addition, R1 showed LPA Brown R1's colostomy supplies in R1's dresser top drawer during the facility visit on 12/05/2024. Interview with Six (6) of six (6) staffs indicated that they are ensuring that R1 receives colostomy care in a timely manner. During the facility visit on 12/05/2024, Staff # 1 (S1) and Staff #2 (S2) provided receipt of colostomy supplies that the facility purchased for R1 when R1's Home Health did not send the colostomy supplies for R1 to ensure R1 receives colostomy care timely.

Third allegation: Staff do not ensure residents room is free of malodors. The investigation was conducted by LPA Melody Brown which consisted of observation and interviews with relevant parties. The third allegation indicates that Staff do not ensure residents room is free of malodors. During the investigation, LPA Brown was not able to obtain sufficient evidence to corroborate the allegation. LPA Brown interviewed R1 and R1 indicated that staffs at the facility are cleaning R1's room two (2) to three (3) times in a day. In addition, R1 reported that staffs at the facility are keeping R1's room clean and free of malodors. Interview with three (3) of three (3) residents indicated that staffs at the facility are ensuring that their room is free of malodors. Interview with seven (7) of seven (7) staffs stated that they are making sure that all their residents room are kept clean and free of malodors. Seven (7) of seven (7) staff interviewed indicated that there's no incident at the facility that they did not keep R1's room clean and free of malodors. During the facility visit on 12/05/2024 and 03/04/2025, LPA Brown observed R1's room clean and free of malodors.