Complaint Investigation Report

Staff do not ensure facility is cleaned and sanitized:

The allegation is that resident R1's bedroom was observed on the floor, and caregivers were unable to access the cleaning supplies room to obtain the cleaning supplies.

On 6/16/2024, LPA interviewed R1's family member (FM). FM stated on 5/24/2024, he/she visited R1. A home care nurse was checking R1 blood sugar. The home care nurse told FM that he/she saw feces on the floor in R1's room when he/she entered R1's room. FM stated he/she saw a staff was cleaning R1's room and changed R1's clothes. FM stated he/she did not see feces on the floor.

On 6/20/2024, LPA interviewed a Med Tech S1. S1 stated caregivers do the room cleaning more often than housekeepers, caregivers do the basic cleaning every shift. S1 stated staff have access to the cleaning supplies room and the facility has sufficient cleaning supplies.

LPA interviewed caregiver S2. S2 stated housekeepers do room deep cleaning and the caregivers do the basic cleaning. S2 stated the chemical cleaning supplies are locked in the cleaning supplies room and housekeepers have the access to the cleaning room. S2 stated caregivers are given disinfectant wipes S2 stated resident R1 was found with Bowel Movement (BM) in pants several times. R1 was given briefs, but R1 does not like it because it is uncomfortable. S2 stated R1 has laundry twice a day and showers as needed.

On 7/12/2024, LPA interviewed S4. S4 stated the facility cleans resident rooms twice per week. S4 stated if caregivers find BM, they will clean first and notify housekeepers to do deep cleaning.

LPA interviewed staff S3. S3 stated resident rooms are cleaned every other day. S3 stated if caregivers find BM on the floor of resident room, they will clean it up and housekeepers will give additional deep clean.

LPA interviewed Med Tech S1. S1 stated caregivers clean resident rooms every day. S1 stated if BM was found in resident room, caregivers will clean it up.

LPA interviewed caregiver S5. S5 stated if caregivers find BM on the floor in resident room, they will clean it up and notify housekeepers to do deep clean. S5 stated one day, R1 had BM in the pants when home care nurse came. S5 stated he/she cleaned it up, gave shower to R1 and changed R1's clothes.