Complaint Investigation Report

an assessment to remove the bathroom door but failed to do so. Records reviewed revealed R1 selected the assigned room prior to admission. Interviews conducted revealed R1 and their family toured their assigned room prior to admission and did not make any mention of R1's walker not fitting through the bathroom door, nor was a mention made that the bathroom door would need to be removed for R1 to use the bathroom safely. Records reviewed also indicated R1 "loved" the room assigned to them. Interviews conducted revealed R1 could ambulate with their walker through the bathroom doorway sideways but not head on. Facilty staff had suggested to R1's family that they add a floor to ceiling mobility pole to R1's bathroom to aide in their safety but this was not done. Facility staff also reminded R1 and their family that staff could be called to provide assistance should R1 want/need to use the bathroom. Interviews conducted also revealed that after assessing the issue, the bathroom door could not be removed due to current fire code requirements.

Regarding the allegation "Facility staff did not assist resident with changing clothes", it was alleged that R1 was wearing the same clothes they had worn to an appointment three(3) days prior because R1 refused to change their clothes. Records reviewed revealed R1 was scheduled to be provided assistance in changing their clothes twice daily. Interviews conducted revealed R1 would often become frustrated with staff assistance in changing clothes and demand to left alone, would refuse assistance in changing clothes entirely, or would completely refuse to change clothes even after receiving encouragement to do so. R1 could not be interviewed.

Although the allegations may have happened or are valid, there is no preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. An exit interview was conducted and a copy of this report was provided along with LIC811- Confidential Names list.