Complaint Investigation Report

Facility staff does not provide assistance to residents in turning and repositioning in bed:

The allegation is that resident R1 was observed not being repositioned in bed for several hours by R1's family member.

On 7/16/2024, LPA interviewed R1's family member (FM). FM refused to provide more detail information.

On 7/17/2024, LPA interviewed Administrator (ADM) Geralyn De Ocampo. ADM stated the facility staff reposition bedridden residents every two hours.

LPA interviewed caregiver S1. S1 stated he/she works for AM shift. S1 stated he/she met R1's family member (FM) in the weekend morning, but he/she was unsure on 7/6/2024 or 7/7/2024. S1 stated he/she repositions resident R1 every 2 hours during his/her shift. S1 stated he/she changed R1's diapers and repositioned R1 on 8:00AM, 10:00AM, and 12:15PM, and FM observed that.

LPA interviewed Assisted Living Supervisor (S2). S2 stated he/she was at the facility on 7/7/2024 Sunday night and he/she knew FM was at the facility on 7/6/2024 and 7/7/2024.

LPA interviewed Activity Director (S3). S3 stated he/she was on duty on 7/6/2024 and 7/7/2024. S3 stated FM came in the facility on 7/6/2024 afternoon and 7/7/2024 morning.

LPA interviewed Med Tech and LVN S4. S4 stated he/she worked on 7/6/2024 PM shift and 7/7/2024 AM shift. S4 stated he/she saw FM on 7/6/2024 and 7/7/2024.

LPA interviewed Med Tech and caregiver S5. S5 stated on 7/6/2024 afternoon he/she called R1's hospice care nurse to come to the facility because FM's request.,

LPA interviewed caregiver S6. S6 stated he/she worked on 7/6/2024 3:00PM to 8:00PM. S6 stated he/she repositioned R1 every two hours during his/her shift.