Complaint Investigation Report

This time frame places C1 in a soiled incontinent care garment for a minimum time of 40 minutes. However, the picture taken by S2 suggests that C1 had needed assistance in changing that far exceeded 40 minutes. Due to staff conflict over changing C1, C1 suffered undue neglect for a minimum of 40 minutes according to interviews and documentation. Based on interviews, documentation, and photographic evidence, the allegation of, “Resident was left in a soiled diaper for an extended period of time.” is substantiated at this time.

Exit interview, citation issue, report signed, appeal rights and report emailed.