Complaint Investigation Report

S1, the Administrator, stated that R1 did not report any pain until staff observed swelling on R1’s jaw. S1 contacted non-emergency services, and R1 was transported to the hospital for evaluation. S1 stated that R1 wears a helmet due to a traumatic brain injury (TBI) and is frequently out in the community, making it unclear where R1 may have contracted the lice. S1 directed housekeeping to clean R1’s helmet weekly to help prevent lice. S1 stated that R1 lacks awareness to maintain hygiene independently, and staff provide reminders and assistance with showers and laundry. S1 also reported that R3 has delusions that aliens are in the shower and refuses to bathe. R3 has been given a 30-day eviction notice, and the case manager is assisting with alternate placement.

S2 stated that additional support wa provided to help R1 keep their helmet clean. S2 confirmed that R3 continues to refuse showers despite repeated staff attempts to assist.

LPA observed R1 resting in bed with clean linens, clean clothing, and a visible haircut. No lice or odors were detected. R1’s helmet was on the floor near the bed. No health or safety concerns were noted. LPA attempted to interview R3; however, R3 refused to speak with LPA.

The RP stated that there was no delay in care that they could recall. RP stated R1 was treated for lice and cellulitis during hospitalization and discharged on 09/29/2029. RP also confirmed that R1 was compliant with showering and was provided with new clothing before discharge. The RP further stated that they had no concerns about the facility and that staff are generally attentive and responsive. No deficiencies cited.

Based on the information obtained through interviews, observations, and record review, there is insufficient evidence to support the allegations that the facility failed to provide adequate care resulting in lice infestation, untreated medical needs, or that R1 was in soiled clothing are unsubstantiated. Although the allegations may have occurred or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

An exit interview was conducted with the Administrator. A copy of this report and Licensee's Rights (LIC 9058 03/22) were provided to the Administrator, and his signature on this report confirms receipt of the Licensee Rights.