Complaint Investigation Report

Based on LPA's interviews, LPA received conflicting information regarding the above allegations including R1 confirming that they had never been yelled at by S1, who has worked at the facility for more than three years with no prior complaints for this issue. LPA obtained copies of R1’s Physician’s Report, Assessment, Resident Appraisal, bathing records, incontinent care records, Needs and Services Care Plan, call logs from 10/1/2024 through 11/14/2024, and R1’s hospital discharge records from 10/29/2024-11/7/2024; 11/14/2024-11/15/2024; and 12/1/2024-12/03/2024, which confirm that R1 has a known, documented history of UTIs as the result of kidney stones and is currently working with their physicians to address this recurrent issue. Additionally, LPA confirmed that requests for assistance, including assistance with incontinent care, over the last month were addressed within an average response time of 13 minutes, and LPA observed documented bathing and peri-care refusals at least 4 times between 10/4/2024 and 12/1/2024.

Based on record review, interviews conducted, and observations made, the allegations of Staff yells at residents and Staff do not ensure resident's incontinence needs are being met are UNSUBSTANTIATED. A finding that the complaint allegations are unsubstantiated means that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegations are UNSUBSTANTIATED.

Exit interview conducted. Copy of report discussed and provided to ED. Signature on form confirms receipt of documents.