Complaint Investigation Report

In addition, the administrator stated that facility staff is trained and educated on caring for residents with diagnosis of Dementia. However, the administrator was not able to provide any training records. This deficiency will be cited on LIC809 and LIC809D under case management.

LPA also interviewed R1's responsible party who validated that when the facility realized that they were not capable of providing the level of care that R1 required, the facility contacted the responsible party to seek for other placement and eventually, R1 was transferred to the acute hospital due to a change of health condition where R1 was discharged to a higher level of care.

Based on documents provided, the LIC 602A (Physician's Order) and the LIC 603A (Resident Appraisal), it did not indicate R1 has current and/or history of challenging behaviors and both documents were completed prior to R1's admission.

Base on record review and interviews during the course of investigation, this allegation is deemed to be unsubstantiated as the facility was not informed of R1's challenging behaviors prior to R1's admission and when the facility learned about these behaviors, the administrator contacted the responsible party to seek for other placement.

Regarding to allegation of resident was left in soiled clothing for extended period of time, the reporting party stated that whenever the responsible party visited R1, R1 smelled like urine, and R1 was left in soiled diapers for an extended period of time.

As part of the investigation, LPA interviewed the administrator who acknowledged the above allegation. However, the administrator stated that staff attempted to clean R1 multiple times a day but with no success due to R1's refusals and aggression behaviors toward facility staff.

LPA also interviewed facility staff members who reported that they attempted to provide Activities Of Daily Living (ADLs) to R1 and attempted to clean R1's room but it was very difficult due to R1's behaviors.