Complaint Investigation Report

Based on records review, interviews with client, reporting party, and staff the information provided, it was unclear if facility does not have the required amount of food for residents in care therefore the allegation was deemed UNSUBSTANTIATED.

Staff did not meet resident's toileting needs- Based on interviews with client, reporting party, and staff. On 7/29/2025 Clinet (C1) was on the way to an outing in Van when C1 urinated in the van on the way to the outing. Staff did have extra clothing for C1 and changed into that clothing. Staff interviewed stated that C1 was too excited to stop to use the restroom, C1 wanted to get to the outing. LPA Lund interviewed C1 who stated that C1 was very eager to get to the outing that day and urinated by accident, but staff had extra clothing for C1. C1 does own Activities of Daily Living (ADLS) and this normal occurrence for C1.

Based on interviews with client, reporting party, and staff the information provided, it was unclear if staff did not meet resident's toileting needs therefore the allegation was deemed UNSUBSTANTIATED.

Staff does not allow resident's to purchase personal items- Based on records reviewed, interviews with clients in care, reporting party, and staff. LPA reviewed three clients P & I Cash Log from 9/1/2025 through 10/8/2025 and were able to purchase items they wanted. Staff interviewed stated that clients in care able to purchase things if they want as long they have the money on their P&I. Clients interviewed stated that they are allowed to get things they want if they have the money.

Based on records review, interviews with clients, reporting party, and staff the information provided, it was unclear if staff does not allow resident's to purchase personal items therefore the allegation was deemed UNSUBSTANTIATED.

Staff does not afford residents privacy- Based on records reviewed, interviews with clients in care, reporting party, and staff. Client (C2) has a Client Sign- Out Procedure as well with the same list is able to talk to over the facility phone with same individuals. C2 is able to go in C2’s room and use the phone and has the privacy that C2 needs. Staff interviewed stated that C2 get the privacy that C2 needs. Clients interviewed stated that staff are great and give the privacy they need.