Complaint Investigation Report

Regarding the allegation that staff did not provide the resident, (R1) with appropriate sleeping accommodations, R1 had an unconfirmed contagious skin condition, and the facility took precaution under physician recommendation by following infection control protocols, including accommodating the request for R1's mattress to be washed. interviews reported that temporary beds are available on site and are typically set up by housekeeping or maintenance staff. Staff interviews indicated that R1 was offered multiple options for temporary accommodations while their bedding was being cleaned, including relocation to another furnished room, which R1 declined. Staff reported that the temporary bed was provided while R1’s mattress was being cleaned and dried, and no concerns were raised by R1 at the time. Interviews could not confirm who exactly set up R1's temporary bed. Additional staff interviews reported knowledge of how to properly setup the temporary bed.

LPA, accompanied by the Executive Director, observed a storage room with multiple roll away beds for temporary use. LPA observed Executive Director and housekeeping staff demonstrate the setup of the temporary beds, and LPA observed the bed with a mattress, and black cot. The cot appeared sturdy and properly assembled, with no safety concerns observed.

Regarding the allegation that staff did not prevent the spread of scabies for residents in care, more specifically, that residents were not notified of the potential outbreak, interviews revealed that several residents experienced symptoms within the same timeframe, however, no confirmed outbreak was identified by public health, and cases were treated based on visual assessment by medical providers. Staff interviews confirmed that environmental cleaning, laundering of clothing, bagging of linens, use of Personal Protective Equipment (PPE), and disinfection procedures were conducted according to guidance provided by public health and medical providers. Maintenance and housekeeping staff confirmed following protocols, including bagging items for the recommended duration and witnessing cleaning companies assist with environmental disinfection.

Interviews with residents reported receiving notifications in their mailboxes informing them of potential cases, preventive steps, and cleaning schedules.