Complaint Investigation Report

Staff failed to keep facility clean, safe, and sanitary. Based on a tour of the facility, photo evidence and LPA observations, it was found that resident living areas are not properly cleaned or maintained. LPA observed urine on resident bedroom floor next to bed and commode. Urine was observed on multiple resident communal toilet seats uncleaned by staff (photos taken). In addition, LPA received photo evidence of feces on the floor of resident living areas and on resident toilet seats.

Complaint alleges residents hygiene needs are not being met. Based on interview with home health agency staff (H1) it was indicated that staff had left resident (R2) soiled on multiple occasions. In addition, LPA received photo of evidence of several instances where resident (R1) was left in urine soiled clothing while resident common areas.

Allegations, staff did not properly manage residents medications, staff failed to keep facility clean, safe, and sanitary & residents hygiene needs are not being met are found to be SUBSTANTIATED. A finding that the complaint is SUBSTANTIATED means that the allegation is valid because the preponderance of the evidence standard has been met. The following deficiencies were cited on 9099-D, per Title 22 Regulations, Division 6. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted and appeal of rights provided.