complaint·February 5, 2025

Staff training records were requested and received. At 10:35a.m facility records were reviewed, residents and staff were interviewed. Facility staff were not meeting residents incontinent needs. It was alleged that staff are not changing R1. Administrator indicated that it was impossible that R1 was not being changed because R1 was alert and able to communicate needs. Staff interviews revealed that incontinent residents are being changed three (03) to four (04) times a day or as needed. LPA conducted interview with staff #1(S1) involved with R1's care. S1 interview revealed that R1’s diaper was always changed otherwise R1 will scream and curse at staff. Other residents revealed that staff changes them three (03) times a day, and more often if needed. LPA was not able to interview resident (R5) due to being non-verbal. Resident (R1) no longer reside at the facility. The information revealed from records supported the information provided by the facility personnel. At the time of facility inspection, LPA observed residents and they were clean, well-groomed and no one appeared to need changing. LPA also observed the facility to be clean and did not experience any malodor. Based on observation, interviews and record review, there is no pertinent information to support the allegation. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. No health and safety hazards noted during this visit. Exit interview conducted and a copy of the report was issued.