complaint·August 21, 2024

Regarding the allegations: 1.) Staff are not ensuring that resident's hygiene needs are being met. The Department received a complaint on 03/22/2023 alleging that staff do not properly clean Resident #1 (R1). During the physical plant tours on 03/27/2023 and 08/21/2024, LPAs observed residents to be well groomed. Interviews with residents did not reveal any concerns with staff not meeting their hygiene needs. Interviews with staff and Administrator revealed that residents get bathed twice a week. Additionally interview with R1’s family member did not have any concerns regarding R1’s care and hygiene needs. The information obtained during the investigation did not include evidence sufficient to corroborate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed Unsubstantiated at this time. Regarding the allegations: 2.) Staff are not turning resident as necessary. The Department received a complaint on 03/22/2023 alleging that staff do not reposition Resident #1 (R1). Interviews with residents revealed that staff do reposition residents throughout the day. Interview with staff and Administrator revealed that staff reposition residents every two hours or as needed. The information obtained during the investigation did not include evidence sufficient to corroborate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed Unsubstantiated at this time. Regarding the allegations: 3.) Staff are not ensuring that resident is being fed in a safe manner. The Department received a complaint on 03/22/2023 alleging that staff do not ensure Resident #1 (R1) is positioned properly before eating to prevent any choking. Interviews with the Administrator revealed that staff do supervise R1 and other residents while eating. The Administrator stated that R1 and other residents can feed themselves, however, do require supervision for their safety. No concerns were brought up during resident interviews regarding supervision during meals. The information obtained during the investigation did not include evidence sufficient to corroborate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed Unsubstantiated at this time. Contiued on LIC 9099-C. Regarding the allegations: 4.) Staff are not ensuring that resident has clean bedding. The Department received a complaint on 03/22/2023 alleging that staff do not ensure Resident #1’s (R1’s) sheets are changed and cleaned. During the physical plant tours on 03/27/2023 and 08/21/2024, LPAs observed all residents’ beds with clean linens. Interviews with residents revealed that staff and clean change their linens daily and weekly. Staff interviews revealed that staff change linens as need which could be daily. The information obtained during the investigation did not include evidence sufficient to corroborate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed Unsubstantiated at this time. Regarding the allegations: 5.) Staff handle resident in a rough manner. The Department received a complaint on 03/22/2023 alleging that Staff #1 (S1) handled Resident #1 (R1) in a rough manner. Interviews with residents, including R1 revealed that staff including S1 are very gently with residents and had no complaints regarding staff. Additionally interview with R1’s family member did not have any concerns regarding R1’s care or staff. The information obtained during the investigation did not include evidence sufficient to corroborate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed Unsubstantiated at this time. Exit interview conducted. A copy of the report was provided.