Complaint Investigation Report

Interviews with staff revealed that R1 is to be bathed twice a week. Interviews with Staff 2 (S2), S3, and Staff 4 (S4) all stated that R1 has been refusing bathing services (a personal right they are allowed to exercise). Staff told the LPA that when R1 refuses their bath, they try to employ techniques to encourage bathing including calling R1's family to encourage healthy behavior. S2 stated that R1 would refuse bathes but more recently has agreed to bathe more regularly without the need of encouragement from family.

In an Interview with R1, it was revealed that facility staff offer bathing services to the resident. R1 stated that they've recently worked out a schedule to help them in accepting those services. This corroborates staff interviews.

Records review revealed that the facility staff were tracking the bathing refusals and updating the care notes to include attempts and solutions when R1 would refuse initially.

Regarding the allegation, "Staff does not ensure resident can open the door to her room." it was alleged that Resident 1 does not have access to their room due to the door being too heavy/too difficult to open.

Interviews with Resident revealed that R1 is able to open and close the door to their room. R1 stated that the door was heavy however during the interview the LPA observed the resident opening and closing the door with mild difficulty. The LPA inquired if R1 required help from staff to open and close the door every time they needed to go in and out to which they responded, "No I don't need staff to help all the time. Every once in a while."

LPA Observations revealed that R1 could open and close the door to their room with minimal difficulty. During the demonstration, R1 told the LPA that the door was heavy. LPA notes that the door is a fire safety door and has been cleared by the fire department to be in use in this facility.

Based on interviews, direct LPA observations and records review, a preponderance of evidence does not exist to prove that the alleged violations occurred, therefore the allegationa aee UNSUBSTANTIATED. An exit interview was conducted with ED, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.