Complaint·August 28, 2024

and staff reveal that R1 only lived in the facility for approximately two months. Within that two months, R1 only had one confirmed fall. Staff and administrator confirmed that the fall happened sometime in July 2023. Staff 1 (S1) was present during R1's fall, which they went to assist R1 immediately after a loud sound coming from R1's room made. S1 assessed R1, and only observed small bruising. Administrator, R1's hospice agency, and family were all notified. Medical attention and first aid was applied. LPA conducted a record review, and observed that an incident report was completed and submitted July 10, 2023. Regarding R1's medications, administrator stated R1 had medication with them at admission, when they were discharged from the skilled nursing where R1 was previously residing. As soon as hospice was initiated, prescriptions refills were made and filled. Administrator assured there were no lapse in medications. LPA also conducted a review of R1's medication records and did not observe any lapse. Based on the information obtained, it could not be proven that R1's injuries were caused due to lack of care and supervision, and facility failed to report an incident as required. Therefore, allegations are deemed Unsubstantiated at this time. Staff did not meet resident's hygiene needs: In regards to the allegation, it was reported that R1 was not given proper nutrition, bathing and showers. R1 was only sprayed with deodorant in perfume. Review of R1's files does indicate assistance with bathing. Interviews with the administrator and two (2) of two staff reveal that R1's hospice nurse would come to the facility twice a week to provide R1 with bathing/shower service. In addition to the bathing and showering, staff would give R1 a bed/sponge bath in between the hospice visits. Interviews made with six (6) of six residents reveal no complaints about their hygiene needs not being met. Review of R1's hospice care plan, and interview with hospice nurse confirm that bathing was part of the care plan, and that it was made twice a week. Based on the information obtained, there wasn't enough evidence to prove that staff did not meet R1's hygiene needs. Therefore, the allegation is deemed Unsubstantiated at this time. Staff did not properly dispose of soiled incontinence products: In regards to the allegation, it was reported that facility bathrooms and outside patio are never clean. Dirty diapers aren't disposed of properly. Interviews with (2) of two staff both confirm that facility bathrooms are cleaned everyday. Staff state they insure soiled diapers are disposed of, and bathrooms are checked on often in the day to insure it is maintained and clean. Interviews made with six (6) of six residents have no complaints of the bathrooms not being maintained and clean. In conjunction with today's investigation, LPA conducted an annual visit and inspection of the physical plant. The facility has three (3) bathroom, which were observed clean during the day's visit. Based on the information obtained, there wasn't enough evidence to confirm that staff do not properly dispose of soiled incontinent products. Therefore, the allegation is deemed Unsubstantiated at this time. Administrator advised and a copy of this report given.