Complaint Investigation Report

LPA observed 7 out of 7 resident room to be organized and sanitary. LPA interviewed ED who provided the schedule for housekeeping and stated that the resident’s bedrooms are audited daily. ED stated that facility maintains a daily housekeeping log of resident’s room that requires cleaning, and staff will add it to the housekeeping log if needed. LPA observed 4 staff assisting residents in the dining area and 2 staff cleaning rooms.

LPA interviewed Staff (S1-S10) 8 out of 10 staff stated that the facility had daily log of rooms that needs cleaning. 3 out 10 staff stated housekeeping does audits of resident rooms to check if they need to be cleaned and if they are not on list staff will still clean the resident’s room. 1 out of 10 staff stated that 1 resident had an accident in the bathroom, and it was cleaned and disinfected in a timely manner.

10 out of 10 staff stated that the residents normally eat in the dining area and only eat in their rooms if they are ill. 8 Out of 10 staff stated that the facility staff encourages to eat and assist them with feeding when staff notices the resident has not touched their food and needs assistance in Memory Care.

2 out of 10 staff stated that the resident’s medication is given to them on time. 3 out of 10 staff states that sometimes residents do not want to wake up early and medication and are given to residents when they wake up.

LPA interviewed 10 residents (R1-R10). 2 out of 10 residents stated they have not fallen. 2 out of 10 residents stated that their rooms are always clean, and the staff are attentive to their needs. 2 out of 10 residents stated that their bathrooms are always clean and have not seen any type of smearing on the walls.

LPA reviewed 4 resident record and was able to verify that medications are administered to residents based on doctor’s order and administered to them in a timely manner. LPA was present at the facility during the medication pass and observed the medications were given on time.