Complaint Investigation Report

In regards to the allegation that staff did not provide adequate supervision resulting in residents suffering a fall and sustaining injuries, information obtained stated facility staff did not provide adequate supervision for the residents. It was also reported that the facility did not seek medical attention. Information obtained from interviews stated that residents are able to request assistance from facility staff when needed and obtain assistance within a reasonable time period. Through interviews obtained, the residents stated that they are able to get and receive medical attention if needed and no issues or concerns were advised.

It was also reported that staff left resident soiled for a long period of time and staff did not replace resident’s bedding. It was reported that an additional witness observed Resident #1 (R1) to be covered in feces while they were sleeping on separate occasions. It was reported that Resident’s bedding had vomit stains. It was also reported that staff did not dispose of residents’ trash. LPA observed resident’s bedding, trash, and room and deemed that it met the regulatory requirements. Through record reviews and staff interviews, LPA learned that there is a schedule where the staff changed bedding and takes out the trash. Residents can request to have it done more frequently, as needed. Interviews with residents corroborated the information obtained from staff. Information obtained from residents stated they can get assistance with changing briefs and bedding, in a reasonable. No issues or concerns were advised.