complaint·May 28, 2021

The investigation revealed the following: Regarding allegation: Facility did not follow resident's care plan. It is alleged family member and administration staff had a care plan meeting and it was agreed upon that resident would be showered every other day. During interviews with 2 out of 10 residents stated to receive assistance with their daily living, 5 out of 10 stated to not required assistance with daily living, and 3 out of 10 residents were not able to respond to interview due to cognitive or verbal skills. Interviews with 4 out of 8 staff stated that there is not sufficient caregivers at the facility, however the caregivers prioritize care for the residents incontinence care needs, meals, and showers are given to the residents every other day. 2 out of 8 staff are not familiar with residents needs and care and 2 out of 8 staff stated staff provided assistance to caregivers in order to provide care to residents and meet the resident care and needs plan. During residents document's review it was noted that 7 out of 10 residents need assistance with daily assistance living, such as showers, feeding, and/or toileting needs which were noted in resident care plan reviewed by the LPA(s). Based on interviews and resident's documents reviewed the preponderance of evidence standard has been met, therefore the above allegation is UNSUBSTANTIATED. Regarding allegation: Staff are not meeting showering needs of resident. It is alleged resident informed family member, resident has not been showered in over a week. During interviews with 2 out of 10 residents stated to receive assistance with their daily living, 5 out of 10 stated to not required assistance with daily living, and 3 out of 10 residents were not able to respond to interview due to cognitive or verbal skills. Interviews with 4 out of 8 staff stated that there is not sufficient caregivers at the facility, however the caregivers prioritize care for the residents incontinence care needs, meals, and showers are given to the residents every other day. 2 out of 8 staff are not familiar with residents needs and care and 2 out of 8 staff stated staff provided assistance to caregivers in order to provide care to residents and meet the resident care and needs plan. During residents document's review it was noted that 6 out of 10 residents need assistance with showers and it was noted on residents care plan reviewed by the LPA(s). Based on interviews and resident's documents reviewed the preponderance of evidence standard has been met, therefore the above allegation is UNSUBSTANTIATED. Exit interview was conducted with Lori Lackey assistant administrator and a copy of this report was provided.