Complaint Investigation Report

8 Out of 13 residents state he/she does not require assistance with toileting needs. R5 and R7 states they do not know if staff assist with toileting needs. R6 and R8 state staff assist him/her with toileting needs. R13 did not respond to questions due to neurocognitive disorder.

The Department interviewed 5 Staff (S1 to S5). 5 Out of 5 staff state he/she assists residents with their toileting needs. S1 states R1 has had toileting accidents, and staff will clean R1 immediately. S1 states R1’s responsible party was informed about R1’s toileting accidents in late April 2025/Early June 2025, when R1 had a toileting accident. S1 states R1 was cleaned by staff during this incident.

The Department interviewed Witness 1 (W1). W1 states he/she does not have any concerns about the care his/her loved one is receiving at the facility.

Review of R1’s physician’s report dated 7/7/2023, R1 can care for his/her own toileting needs. Review of R1’s care plan dated 6/18/2025 R1’s toileting assistance is three times per day, morning, noon and evening.

Staff did not ensure resident’s room was maintained in clean condition.

It has been alleged by the Reporting Party (RP) that R1’s room has ‘dirty laundry’ piled in the room, and staff are not washing the laundry. RP did not provide additional information regarding this incident.

The Department interviewed 13 Residents. 7 Out of 13 Residents state the facility staff are cleaning his/her room. 5 Out of 13 Residents states he/she does not know how often staff clean his/her room. 1 Out of 13 Residents states he/she does not require assistance with cleaning his/her room.

The Department interviewed 5 Staff (S1 to S5). 5 Out of 5 staff state resident rooms are being cleaned at least once a week, depending on the resident’s care plan. S1 states R1’s room is being cleaned multiple times a week, but it is not listed on R1’s care plan. S1 states R1’s agreement is for cleaning one time a week.