Complaint Investigation Report

Allegation #1: Staff do not meet residents’ incontinence needs.

The complaint alleged that residents' briefs were changed late and that this caused rashes. On April 16, 2026, the department interviewed the Executive Director (ED), who denied the allegation and stated that the caregiver changed residents' diapers every two hours and as needed. At the same time, the department interviewed the Administrator (A1), who also denied the allegation and stated that caregivers changed residents' diapers every two hours and as needed. A1 also stated that if a resident needed to be changed sooner, the caregiver or any staff member would do so. The department interviewed four staff members (S1-S4), all of whom denied the allegation and stated that they know their residents and how often they need to be changed. Additionally, the department interviewed 6 residents (R1-R6), 4 of whom wear diapers, and none reported that the caregiver took too long to change them.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation (s) did or did not occur, therefore the allegation is unsubstantiated.