Complaint Investigation Report

It was alleged that staff did not prevent resident from falling. Interviews revealed R1 did have a fall. Interviews revealed that the staff work closely with the residents and sometimes they just fall. Interviews revealed that staff can be right next to the residents and they will still fall. All staff try to prevent residents from falling and hurting themselves. Interviews revealed that R1 fell on October 2, 2023 by tripping over their foot after exercising and sustained injuries to the side of their face. Interviews revealed staff called 911 and R1 sustained a cut above their right eyebrow. Interviews revealed they contacted R1s RP and advised them of the incident.

It was alleged that staff did not ensure that resident was adequately hydrated. Interviews revealed the staff kept the two clients hydrated by asking them did they want water and when they refused they offered for them to take a sip. Interviews revealed there was also something available for the residents to drink to stay hydrated at all times. Interviews revealed there were times one of the residents would refuse to drink but after a few prompts they would take a drink. Interviews revealed the staff conducted rounds hourly or as needed and the staff would ask if they would like something to drink each round. Interviews revealed all residents have a 16 oz cup of water in their rooms that is refilled as needed.

It was alleged that staff did not follow resident's care plan. Interviews revealed the care plan was followed and maintained by staff. Interviews revealed the staff shower R1 twice a week at minimum. Interviews revealed staff would change R1 clothes everyday as well. Interviews revealed that there was no set care plan in place for showers they just completed the task.

It was alleged that staff did not effectively communicate with resident's responsible party. Interviews revealed the staff communicated with the Responsible Party (RP) daily or as needed. Interviews revealed the RP would call and request things of the staff and they would comply. The staff know how to call 911 and the administrator in case of an emergency and can effectively communicate with emergency personnel if need be and the RP.