complaint·August 15, 2023

It is alleged R1 had two layers of clothes on, hair not combed, pressure sock put on wrong and toenails were not cut when family member visited. Interviews conducted on 6/8/22 with residents revealed 11 out of 11 residents interviewed stated staff provides assistance with changing clothes, showers, and Activities of Daily Living (ADLs). Residents also stated a podiatrist provides visits once a month to cut their toenails. 2 out of the 11 residents interview stated to not need assistance with cutting their toenails because they cut them themselves. Administrator assistant and Wellness Director stated staff provide assistance with ADLs by showering, grooming, and changing clothes in the morning. A podiatrist is in rotation who provides services for cutting toenails every 6 weeks for residents. Staff makes notes when residents refuse services. Interviews with additional staff revealed staff assist with changing clothes, showers, and that podiatrist is notified when residents need to cut their toenails. Caregiver (S3) stated to provide care for R1 consistently. Although S3 has come across R1 wearing layers of clothes. S3 has redirected R1 and assisted with removing additional layers. However, when R1 refuses S3 provides time and returns to assists with removing additional layers and R1 is compliant at the time. Document review revealed, physician's report dated: 6/22/21 notes R1 is able to communicate his/her needs and follow instructions. R1 seems to be able to perform most ADLs and needs assistance with showers. Physician's report dated: 6/2/22 notes a change in condition and R1 no longer follows instructions. No other changes were noted. Individual Service Plan dated: 3/4/22 notes staff is to assist R1 three times per week with grooming and supervisors will ensure ADLs are completed daily. It also notes staff will redirect R1 to current situations and reality as needed. Foot and Ankle Care logs dated 2/3/22, 3/3/22, 5/3/22 note R1 received services from the podiatrist on those dates. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED .