Complaint Investigation Report

R1 was provided hygiene care regularly, including brushing their teeth, cleaning their face/body as needed. Per review of records, and staff interviews, R1 was toileted and cleaned and changed as needed, every one-two hours minimum, most times every hour. Soiled clothing and linens are to be taken to the laundry room daily and washed; Besides the washing machines in the memory care unit, staff also uses the two larger laundry rooms in the main facility, in assisted living as needed. All other dirty laundry is done weekly per the schedule. If laundry is done by a family member/responsible party staff stated it is by their choice, it is not required of them. Per record reviews, R1 had two (2) unwitnessed falls, on 1/3/24 & 4/29/24. No serious injuries sustained after assessments were done by staff. R1 was not a one to one staffed resident; R1 can ambulate on their own when wanting to, and residents are not restrained in assisted living and/or memory care from moving about freely. Staff provide checks on resident's in their rooms as needed. Staff supervise and monitor groups of residents as needed, and only residents that are one to one have a staff with them at the specified times per their care plans.

Based on the interviews, record/document reviews, and related information obtained during the investigation, the allegations " lack of supervision resulted in resident sustaining an unwitnessed fall, staff are not assisting resident with incontinence care and/or assisting resident with a toileting schedule, staff are not ensuring resident(s) has clean clothing, staff are not assisting resident(s) with hygiene care ” are Unsubstantiated, meaning that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.

Exit interview was conducted with the Executive Director James Homer.