Complaint Investigation Report

It was alleged that in December 2019, licensee did not maintain resident(s) room in a sanitary condition. Interviews with outside sources determined that Resident 1 (R1) and Resident 2 (R2) room was observed as clean and sanitary. Interviews with staff, other residents and records reviewed confirmed resident rooms were cleaned daily and if extra cleaning was needed, it was provided by either housekeeping or the caregivers.

It was alleged that in December 2019, licensee did not assist with incontinence care. Interviews with staff confirmed residents who need assistance are checked every two hours for incontinence care needs. Interviews with residents and staff corroborated residents can call for additional assistance with incontinence through their pendants and/or call lights as needed. Interviews with outside sources and records reviewed determined there were no concerns with incontinence care during the time frame in question.

The Department has investigated the above allegations Based on evidence obtained, including interviews and records reviewed, the allegations are determined as unsubstantiated as the Department could not meet the preponderance of the evidence standard.

An exit interview was conducted with ED Marcellus and DRCS Lyons and a copy of this report and Licensee/Appeals Rights (LIC 9058 01/16) was provided to ED via email. An electronic receipt of confirmation was requested to be sent by the Licensee upon receipt of the documents.