Complaint Investigation Report

A review of the housekeeping schedule indicated that R1 required full housekeeping assistance. Interviews with staff revealed that they cleaned R1’s room each morning, and when caregivers observed feces on the floor following an incontinence episode, they immediately contacted housekeeping for cleaning. Interviews with staff, residents, and external sources disclosed no concerns regarding the cleanliness, organization, or odor of resident rooms or other facility areas.

R1’s responsible party did not express concerns about staff maintaining R1’s hygiene or keeping the room clean and odor-free. During a visit conducted on December 11, 2023, twelve (12) rooms, including R1’s, were inspected and observed to be clean, free from clutter, and without unpleasant odors. No dirty or soiled clothing was observed, and incontinence products were sealed in plastic bags awaiting housekeeping pickup.

Staff interviews indicated that due to R1’s medical condition, frequent loose bowel movements occurred, requiring increased cleaning to meet R1’s needs. No violations were observed during the visit. There was insufficient evidence to support this allegation.

It was also alleged that staff did not meet R1’s personal hygiene needs, specifically that staff failed to fully clean R1 during incontinence care. Specific details regarding the alleged incident were not disclosed during the investigation. A review of R1’s medical records and service care plan indicated that R1 required assistance with all activities of daily living, including incontinence care.

During interviews, staff stated that R1 received incontinence care every two hours or more frequently as needed due to R1’s loose bowel movements. Staff also reported that R1 followed a predictable routine, and they were aware that incontinence care was typically required after meals. A review of the shower schedule indicated that R1 received two showers per week, or more often when necessary, following bowel movements that required more extensive cleaning. Interviews with residents and external sources did not disclose concerns regarding incontinence care. There was insufficient corroborating evidence to support this allegation.