Complaint Investigation Report

It was reported that "Staff did not provide resident with privacy" as it was alleged that Resident #1 (R1) was being changed in the open. LPA's interviews conducted with residents revealed that three (3) out of the five (5) residents interviewed stated that all resident are always given privacy when staff assist them with changing their clothes. These (3) residents also stated they have never observed any resident being changed while they were sitting on the couch watching television. In addition the (3) residents interviewed did not express any potential or immediate concerns for not being afforded privacy to change while in care. Two (2) out of the (5) residents were not able to communicate effectively. LPA's interview with four (4) staff revealed that typically residents are changed in their room in the morning when they wake up and in the evening before they go to bed. If they need to change the resident they would bring them to their room. Each staff interviewed have never observed any staff change a resident in any of the common areas at this time. LPA's interview with five (5) responsible parties / families of residents in care revealed that four (4) out of the (5) parties stated they have never observed a resident changed in the common areas and each they did not express any potential or immediate concerns for residents not being afforded their privacy at this time. One (1) out of the (5) responsible parties / families interviewed stated they have heard of a resident being changed in the common area, but they did not observe it first hand. Based on the information obtained during the investigation, the Department does not have sufficient evidence to corroborate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegation, “Staff did not provide resident with privacy” is deemed Unsubstantiated at this time.

It was reported that "Staff did not provide a comfortable environment for residents" as it was alleged that while residents were having lunch Resident #2 (R2) was allowed to use their bedside commode in the living room in close proximity to other residents in care. LPA's interviews conducted with residents revealed that three (3) out of the five (5) residents interviewed stated that they have never observed R2 use a commode in the living room. Two (2) residents stated that staff assist them to their room or to the restroom while one (1) resident stated they use the restroom in the hallway bathroom without full assistance from staff. Two (2) out of the (5) residents were not able to communicate effectively. LPA's interview with four (4) staff revealed they have never observed any staff assist R2 with using the commode in the restroom. Staff also stated that residents are brought to their room or restroom when they need to use the toilet. LPA's interview with five (5) responsible parties / families of residents in care revealed that four (4) out of the (5) parties stated they have never observed any resident use a bedside commode in the common area.