Complaint Investigation Report

The current resident in room 5 was in the common area the door was opened and not locked on LPA visit. LPA took a photograph of the lock on the outside of the door. Based on the evidence this allegation is Substantiated at this time.

On the allegation: Staff are sleeping while on duty. LPA interviewed Administrator which revealed a residents family felt the staff was sleeping because she was laying on the couch with the staff eyes closed and she talked with the staff an explained staff can not do so that while working on shift. Staff interviewed stated staff was resting and just had eyes closed but was not sleeping. Witness interview stated the staff was asleep on the couch during the day while residents in care were awake and at the facility. Based on the evidence this allegation is Substantiated at this time.

On the allegation: Staff are not trained to use the hoyer lift. LPA interviewed Administrator which revealed the staff that work at the facility have prior caregiving experience and staff know how to use the Hoyer Lift with resident in care, facility did not train any staff in the hoyer lift and facility does not have any records of training on the hoyer lift. Staff interviewed revealed the staff knows how to use the hoyer lift and worked in caregiving prior and had learned how to use it then. Witness stated the staff was not trained on using the hoyer lift with a resident in care. Due to the facility's lack of training records or documentation this allegation is Substantiated at this time.

On the allegation: Licensee does not ensure residents have toilet paper in the bathrooms. Witness statement revealed the bathrooms do not have toilet paper for residents use. LPA toured the facility, the main bathroom did not have toilet paper, Room 3 bathroom did have toilet paper and room 4 & 5 have a shared bathroom that did have toilet paper. Resident interview said sometimes the bathroom has toilet paper and sometimes it does not, resident said if the resident asks the staff the staff will get the resident toilet paper. Administrator stated they were hiding the toilet paper from 1 resident due to the resident clogging up the toilet and it overflowing all over the bathroom and out into the living area causing a safety issue, the resident has clogged the toilet several times, staff told the resident to ask the staff for toilet paper if the resident needs it and the staff will bring it to the resident. LPA asked the Administrator if the facility had any doctor documentation that the resident can not have access to regular grooming and hygiene items, the Administrator stated no the facility did not. Based on evidence this allegation is Substantiated at this time.