complaint·May 5, 2023

interviewed S1, S2, S3, S4, and W1 (by telephone), and R2 & R6. All staff denied that R1 had been left in a soiled diaper for an extended amount of time. All staff stated that all residents need some level of incontinent care. They reported that R1 is capable of alerting staff of a need for incontinent undergarment changing, or need for assistance for toileting. All staff reported that whether or not residents alert them, they check for changing needs every 2 to 3 hours. R6 reported that she requires incontinent care and that staff check on changing needs at least 3 times a day. W1 stated that she has visited R1 on multiple occasions and that R1 was clean and dry. W1 also stated that R1 presents as happy and expresses her like for the staff. W1 also stated her knowledge that the staff check R1 regularly. W1 reported also being the case manager for another resident and that there have been no problems pertaining to incontinent care for that other resident. Allegation: Staff not meeting resident's care needs. Unsubstantiated LPA and LPM reviewed all resident files, including but not limited to the Physician's Assessments, Admission Agreements, and Needs and Services Plans. LPA and LPM interviewed S1, S2, S3, S4, and W1 (by telephone), and R2 and R6. The RP alleged that when visiting on 4/18/23, R1 was in the common areas wearing only a neglige whereby the diaper could be seen. All staff denied that any resident is allowed to walk around the home dressed inappropriately and having no knowledge of R1 walking around the home dressed only in a neglige; they also stated that R1 requires assistance while ambulating the home. R2 and R6 stated having no knowledge of this issue. W1 reported visiting the home on multiple occasions and that R1 was always clean and dressed appropriately. W1 had no knowledge of the alleged incident. No other witnesses were identified. Exit interview conducted and a copy of this report was provided.