Complaint Investigation Report

The results of the investigation are as follows:

Complaint alleges that residents are defecating on their beds and are made to lay in their own feces, and that the bedding is not being changed.

Interviews were conducted with residents and staff from May- September 2021.

A resident who has incontinence was interviewed in May 2021 stated, "at night, is the worse response time".

A housekeeper stated in May 2021 that housekeeping staff has been changing resident sheets, and If there is only (1) caregiver on shift, and she starts in room 1, then it could be (2) hours until the caregiver gets to the resident in room 65 due to the distance in the building. A Med- Tech stated in July 2021, when asked about residents being left in soiled bedding, “Yes, it has happened before -it's with the heavy wetter’s- usually the "am" saying they are too wet" and added that “NOC shift needs to pay more attention to the heavy wetter’s”. A caregiver stated in June 2021 that residents are checked every 2 hours and staff checks on incontinent residents more often, indicating that about 50% of residents are incontinent and they are also checked on when they press the button for assistance. This caregiver stated she feels staff are "pretty good about changing". during the "am" and 'pm" but is "not sure about the NOC" shift and stated sometimes when she arrives at 6:30 am, she sees that there is one resident that could have been seen twice during the night.

Administrator stated in June 2021 that residents are not left in soiled bedding and staff completes a "Night Activity Report" every day that shows which residents have to be changed during the night. The Administrator stated in the same interview that "all residents are changed at night- staff knows the heavy wetter’s- there are (2) to (3) residents- every hour they go”.