Complaint Investigation Report

Allegation: Staff not providing adequate supervision to resident's.

It was alleged that staff are not providing adequate supervision to residents. During the course of this investigation, LPA conducted interviews and reviewed facility records. Based on interviews conducted, it was denied by 5 out 5 staff members that they do not provide adequate supervision to the residents. 5 out 5 staff members state that they able to meet the residents needs with the current staffing that they have. An interview with 8 residents were conducted. 8 out 8 residents state that they believe that they have sufficient supervision and report no issues. A review of the facilities staffing schedule was conducted. However, it was unable to use due to the time difference between the allegation and complaint finding. Based on the information gathered, it is unclear if the staff are not providing adequate supervision to residents.

Allegation: Resident developed sores while in care.

It was alleged that at resident developed sores while in care. During the course of this investigation, LPA conducted interviews and reviewed facility records. Based on interviews conducted, it was learned that R1 would state that they developed sores however when staff would access this resident there was no sores or indication that showed that the resident was developing a sore. In addition, LPA reviewed R1’s daily notes which showed that the staff would often do skin checks but did not find anything concerning any skin integrity issues. Based on the information gathered, it is unclear if the resident developed sores while in care.

Allegation: Staff not providing resident with drinking water.

It was alleged that staff do not provide residents with drinking water. During the course of this investigation LPA conducted interviews and toured the facility. An interview with 8 residents were conducted. 8 out 8 residents state that they do have access to water. 8 out 8 residents state that they did have individual water bottles, however, the facility has changed to having water that is brought by the staff members to fill out their pitchers. An interview with 6 staff members were conducted. 5 out 5 staff members state that they have implemented a new system where the facility has hydration carts on each floor that includes excess water pitchers and cups. These hydration carts are monitored by staff and are used to fill the residents personal pitcher in their rooms. 5 out 5 staff members deny that they do not provide residents with water. LPA conducted a tour of the facility, where it was observed that the facility does have 3 separate hydration carts available for residents and staff to use throughout the day. Based on the information gathered, it is unclear if the staff do not provide residents with drinking water.