complaint·March 7, 2024

Ten (10) out of ten (10) residents who were interviewed could not corroborate the allegation. Resident interviews revealed that facility staff would provide timely care if residents fell whether residents were injured or not. Staff would notify residents’ responsible parties if residents fell. Four (4) out of four (4) staff denied the allegation. Staff interviews revealed that staff would assist residents timely if residents fell while in care. Therefore, there was not preponderance evidence to show staff failed to provide care to residents and resident sustained injured. In regard to allegation staff are failing to meet resident’s needs, it was alleged that staff did not provide care to resident on changing diapers and assisting with feeding. Ten (10) out of ten (10) residents who were interviewed could not corroborate the allegation. Resident interviews revealed that staff had provided the care they needed such as grooming, cleaning, changing diaper and assistance with feeding. Four (4) out of four (4) staff denied the allegation. Staff interviews revealed that staff would assist residents per residents’ needs. Per record review, resident was scheduled to have a 2-hour check on reposition / diaper change and assisting with feeding. Therefore, staff provided care to meet resident’s needs. In regard to allegation staff leave resident in soiled clothing for extended periods of time, it was alleged that staff left resident in wet soiled clothing for extended periods of time. Ten (10) out of ten (10) residents who were interviewed could not corroborate the allegation. Resident interviews revealed that they had never left in soiled, wet clothing. Staff changed their clothes timely if got soiled. Four (4) out of four (4) staff denied the allegation. Staff interviews revealed that staff would change residents’ clothes as needed. Per observation, residents were observed to be clean, neat and with no foul odor. Therefore, resident was not left in soiled clothing for extended periods of time. In regard to allegation staff failed to safeguard resident’s personal belongings, it was alleged that resident’s cell phone was missing in the facility. Ten (10) out of ten (10) residents who were interviewed could not corroborate the allegation. Resident interviews revealed that staff would help them to find their missing belongings and most of the time, their missing belonging were found in their rooms. Residents were not aware of any personal items being stolen. Four (4) out of four (4) staff denied the allegation. Staff interviews revealed that staff would assist residents to search for the items and return them to residents. In most cases, resident’s items were misplaced in their room. File review revealed resident #1 did not have the said items under resident’s possession. Therefore, investigation did not reveal staff failed to safeguard resident’s belongings. (- continued in LIC 9099C-) 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 UNSUBSTANTIATED. An exit interview was conducted with Administrator. A hard copy of the report and appeal rights were provided.