Complaint·July 28, 2023

Page 2 Review of shower records showed residents' schedule of showers and signed by the assigned staff when done. All staff interviewed stated they assist residents with ADLs. S4 and S5 denied waiting for hospice staff to provide assistance with ADLs. R1 stated staff assist her as needed. Allegation: Facility staff withhold food and water from R1. It was alleged that S4 and S5 withhold food and water from R1. Seven out of 8 staff interviewed stated they never withhold food and water from R1. S4 and S5 denied withholding food and water from R1. R1 stated staff gives her whatever she wants. Allegation: Facility staff prohibit R1 from using facility phone. it was alleged that every time R1's family member calls the facility, staff will say resident has dementia. LPA interviewed R1 who stated she has cell phone, and she can use the facility phone if she wants. All staff interviewed stated facility has land line phone and cordless phone and residents are allowed to use. Incoming calls are given to the residents. LPA observed on 10/20/21 a resident using the facility land line phone. Allegation: Facility staff are verbally abusive to R1. It was alleged that when R1 ask for water, S4 and S5, tell R1 to go and drink water from the toilet bowl. S4 and S5 denied the allegation. The other 5 staff interviewed also denied the allegation, and stated either they have not work with S4 and S5 or never heard them tell R1 the allegation. R1 stated the staff were never abusive to her. Allegation: Facility staff fail to assist R1 with incontinence care. It was alleged that S4 and S5 wait for hospice aide to change R1's diaper. During initial visit, LPA observed R1 clean and no smell of urine. R1 stated the staff assist her as needed. The 7 staff interviewed stated residents are changed 2 to 3x during shift, promptly and as needed. S4 and S5 denied waiting for hospice aide to change R1's diaper. ...continued on 9099C (page 3) Page 3 Allegation: Facility was short staffed. All 7 staff stated they are able to do their duties. There were times when staff may call off or leave early, but management called for back-up and at times worked on the floor. One out of 7 staff interviewed stated this has changed recently and management is cutting staff hours to save on budget. Based on all information gathered and due to LPA unable to obtain information from R1's family member and hospice staff, the 6 allegations are closed as unsubstantiated. A finding that the complaint is unsubstantiated means that although the allegations may have happened or are valid, there are not a preponderance of the evidence to prove that the alleged violations occurred. No deficiency cited. Exit interview conducted and copy of this report provided.