Complaint Investigation Report

R1 had private caregivers prior to moving into the facility. The private caregivers would visit R1 at the facility but not provide care, just companionship and some feeding assistance. The facility staff were responsible for R1’s care needs. Staff denied telling R1 to use the restroom in their brief. There was an understanding R1 would not use the restroom as it was high risk and painful. Staff and outside source interviews confirmed R1 would scream loudly from pain when placed on the toilet/commode. The outside source that was responsible for overseeing R1’s care was at the facility twice a day Monday through Friday. They did not provide care, as it was the responsibility of the facility. The outside source interview confirmed R1’s incontinence needs were met, and observed R1 was kept clean, dry and changed regularly. The administrator’s interview indicated R1 was admitted to the facility with some skin issues and the facility was able to help resolve them by providing good incontinence care. Licensee also stated R1’s incontinence needs were met. R1’s Power of Attorney stated R1’s was well taken care of by the facility staff and R1’s incontinence care needs were met. R1’s interview was unsuccessful due to R1 passing away on 11/07/24 from health related issues.

During the course of the investigation, interviews were conducted, and records were reviewed. Investigation revealed inconsistent statements and information obtained did not present a preponderance of evidence to support or corroborate the allegation. The allegation was deemed unsubstantiated. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were provided to Staff, Norman Suyat whose signature below confirms receipt of these rights. [See LIC 811 Confidential Names List to identify Resident #1]