complaint·July 29, 2021

Resident's toileting needs are not being met. Visual inspection of every occupied room (10) and none were malodorous and all appeared to be clean and tidy. All residents rooms had portable johns that were clean at the time of inspection. Staff stated that residents toileting needs are addressed on an as needed basis. Based on this, this allegation is UNSUBSTANTIATED. Staff rough-handle resident in care. Complaint states that an employee allegedly "mistreats" residents by pushing them to hurry them to bed. Interviews of residents and family members. Family members state that residents have never reported being pushed or rough handled. Family had nothing but praise for the care facility and the care that they have been providing. Family has no complaints about the facility. Based on this, the allegation is UNSUBSTANTIATED. Facility is malodorous. Visual and olfactory of every occupied room (10) and none were malodorous. All appeared to be clean and tidy. Staff stated that the only time the room would be malodorous would be if the occupant had used the portable john or had a recent bowel movement in their briefs at which time staff would immediately address the source of the odor. Based on this, this allegation is UNSUBSTANTIATED. As a result of this investigation, LPA finds the allegation that resident developed pressure injuries while in care, residents toileting needs are not being met, staff rough-handle resident in care and facility is malodorous to be UNSUBSTANTIATED. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.