Complaint Investigation Report

On the allegations, “Facility staff not meeting resident's incontinence care needs and Facility staff did not clean feces off baseboards in resident's room”; it is the concern of the reporting party that on 06/20/23, Resident #1(R1) had a bowel issue in the morning and that at 1:00 p.m. five hours later R1 was observed to be left with feces on their back, as well as on the base boards. RP further reported that Photos were submitted to the Department. One of the photo’s was a photo of the back of an individual without a shirt with brown streaks and a lump of what appears to be poop. The Photo does not have a date or time stamp. A second photo of what appears to be a yellow wall, and white baseboard with several brown stains was submitted. To investigate the allegation, the LPA conducted interviews with Staff, residents, and resident’s family members/authorized persons; however, the individuals were not present during the incident and therefore, could not offer sufficient information regarding whether it did or did not occur. Interviews with staff revealed that most of the staff that are currently in the Memory Care Unit of the community were employed within the past year, they were not at the facility in 2023, and that they check/change on residents every 2 hours or as needed. If staff notices rooms to be unkept they will clean them. Interview with a care giver in the MC unit that has been at the facility for about three years revealed that they do not have knowledge of any incident involving R1 having feces on them or their baseboards and further revealed that residents are changed right away. Interviews with family members revealed that they have witnessed residents in the common areas that appear to be soiled, they will let the staff know and staff will go change them, and although they can assume how long they have been soiled for based on their appearance they do not know how long residents were soiled for. Interviews with residents revealed that they do not have any concerns about the care being provided, with one resident stating that staff assist residents right away. Based on Interviews there is insufficient evidence to support the above allegations. Therefore, the allegations are being deemed Unsubstantiated at this time.

Report will continue on LIC9099-C, 3rd page.