Complaint Investigation Report

During previous inspection 5/19/2023, an interview with staff and ADM stated that bedsheets are changed every once a week except when a resident has an accident such incontinence. LPA inspected R1's bedroom #19, R1's linen had dry urine stain & R2's pillow had dry blood due to severe acne. R1 is incontinent.

During today's visit, staff stated they were in the middle of assisting residents and changing everyone's linens during our inspection. LPAs and LPMs did not observe staff who were soiled.

Resident's hygiene needs are not being met

According to the allegation, the residents were seen strangely filthy at the facility. During today's tour of the facility , residents were observed during meal time, and around the property. There were no complaints regarding the staff not attending to their needs. The residents were observed not to be disheveled . LPAs and LPM observed the residents to be wearing clothes without stains and unintentional rips. During interview with residents, all 4 residents were independent with their grooming and asked staff for help if they need it.

During inspection, there was an odor in Room #12. The resident (R1) does not get up and resident is incontinent with bladder. According to the ADM, they were cleaning the resident and the room and they will follow up with social worker. The resident refuses to wear incontinent pad and a plastic cover has been placed over the mattress.

Resident's bed was not properly maintained

LPAs randomly inspected residents bedrooms. Residents' were also interviewed. Residents provided responses that bedsheets are washed during different times of the week. During today's inspection, 6/7/2023, the resident rooms were made with blankets tucked in and was clean of dirt and debris.

Resident was unable to shower while in care

During today's inspection, 3 Out of 4 residents interviewed stated they take a shower themselves and 1 out of the 4 residents interviewed stated they need help while taking a shower. All 4 residents interviewed stated the staff administer the medication during scheduled time. During inspection, LPAs and LPM observed the shower room to be unlocked and a schedule of the resident showers was posted outside.

Page 2 out of 3, see continuation on LIC 9099-C (Page 3).