Complaint Investigation Report

OA1 stated that the facility began "2 hour checks" on R1 and R2. OA1 stated that the facility staff are meeting the care needs for R1 and R2. OA1 stated that the facility calls them "right away" to report any new health or skin conditions for R1 and R2. OA1 stated that from what they have witnessed at the facility OA1 believes the facility had sufficient staff to meet the needs of the hospice residents. OA1 stated that when OA1 is in need of a caretaker OA1 notifies the front desk who then alert the staff and they always arrive quickly.

LPA interviewed outside source (OS) who stated that they visit R2 regularly at the facility. OS stated that R2 has resided at the facility for over eight years. OS stated that facility staff often check on R2 but also allow OS to visit with minimal interruption. OS stated that R2 had a pressure sore on their foot which was being monitored by staff. OS stated that they are satisfied with the care that the staff are providing for R2. OS believed that the facility had sufficient staff to meet R2's care needs.

LPA interviewed Staff 1 (S1) at the facility. S1 stated that they work directly with R1 and R2 and informed LPA that R3 passed away. S1 stated that they check both residents every two hours. S1 stated that due to the recent changes in management in the last few months their were some issues with communication between staff but now "it's all in place."S1 stated that the facility has an in-service training every month to address various topics including; catheters and hoyer lifts. S1 stated that when a hospice resident with an advanced stage wound is soiled the staff immediately advised hospice who then comes to the facility to clean the wound, change the dressing and change the soiled brief. S1 stated that although it is struggle at times with staffing due to "call outs" or resignations, they still manage to complete their tasks including; repositioning R1 and R2, checking if R1 and R2 are soiled and checking if R1's wound dressing is in tact.

LPA interviewed Staff 2 (S2) at the facility. S2 stated that they believe the staff are meeting the care needs of R1 and R2. S2 stated that they immediately advise the med nurse when they see any issues with the hospice residents such as wound dressings that needs to be changed. S2 stated that although the requirement is that they check on R1 and R2 every 2 hours, S2 likes to check them every hour or hour and a half. S2 stated that during the check in's they reposition both residents and check if they are soiled or need their wound dressing changed. S2 stated that they believe their is sufficient staff to meet the needs of R1 and R2 as well as the other hospice residents. S2 stated that they usually get another staff member to cover the shift if someone "calls out." S2 stated in general their are two med-techs, four caregivers and one "floater" caregiver that work during the morning shift.