complaint·April 4, 2024

Staff would check on them when changing their clothes or bathing them. Seven (7) out of seven (7) staff denied the allegation. Staff interviews revealed that staff would conduct skin assessment to residents, report the result to administrator and nurses, and provide care to residents accordingly. Per record review, staff would report skin assessment to LVN. Per observation, residents looked fine and decent. They were able to verbalize their skin issue. Therefore, there is not preponderance of evidence to show staff failed to address resident’s healthcare needs while in care. In regard to allegation staff allow resident to be left in soiled clothing for extended period of time, it is alleged that staff left resident in soiled clothing for extended periods of time. Per resident interviews, eight (8) out of ten (10) residents who were interviewed could not corroborate the allegation. Two (2) out of ten (10) residents declined to be interviewed. Resident interviews revealed that they had never left in soiled clothing. Staff changed their clothes timely if clothes got soiled. All seven (7) staff denied the allegation. Staff interviews revealed that staff would change residents’ clothes daily/ as needed. As LPA observed, residents looked clean and neat. Therefore, resident was not left in soiled clothing for extended period of time. In regard to allegation staff do not ensure resident is provided with fresh clean linens, it is alleged that staff do not change resident’s bedsheets. Eight (8) out of ten (10) residents who were interviewed could not corroborate the allegation. Two (2) out of ten (10) residents declined to be interviewed. Resident interviews revealed their bedsheets were changed daily, weekly or as needed when soiled. Staff changed residents’ bedsheets timely when after soiled. All seven (7) staff denied the allegation. Staff interviews revealed that staff would change residents’ bedsheet at least once weekly and/or as needed. Per observation, residents’ bedsheets and rooms were observed to be clean. Therefore, clean linens were provided to residents. Based on the information obtained during the investigation, interviews with staff, residents, review of resident files and LPA's observation, the investigation did not reveal any evidence to support the allegations mentioned above. Although the allegations may have happened or are valid, there is not preponderance of evidence to prove the alleged violations did or did not occur, therefore, the allegation is UNSUBSTANTIATED. An exit interview was conducted with Anne, LVN supervisor. The findings were discussed. A copy this report was provided at time of the visit.