Complaint·February 1, 2024

It is being alleged facility staff fails to change resident's diaper. On 02/01/24 LPA interviewed CD regarding the above allegation, CD denied the allegation stating residents are checked on and changed every 2 hours. CD added a change can occur before the 2 hour mark if a resident has an accident. On 02/01/24 LPA interviewed S1-S9 regarding the above allegation, 9 of 9 staff interviewed denied the allegation above reporting that residents are changed every 2 hours or as needed depending on the residents needs. Per 9 of 9 staff there is a changing log for hospice residents. On 02/01/24 LPA interviewed R1-R10 regarding the above allegation, 7 of 10 residents interviewed denied the allegation above, 2 of the 10 residents interviewed reported they do not use diapers, and 1 of 10 residents interviewed did not provide an answer. On 02/01/24 LPA reviewed incontinent/changing log for R1 and did not observe any discrepancies. Allegation- Facility staff fails to re-position bedridden resident. It is being alleged that staff fails to re-position bedridden residents. On 02/01/24 LPA interviewed CD regarding the above allegation, CD denied the allegation stating bedridden residents are checked on and repositioned every 2 hours after they are changed. On 02/01/24 LPA interviewed S1-S9 regarding the above allegation, 9 of 9 staff interviewed denied the allegation above reporting that residents are repositioned every 2 hours and it is documented on a form located in the residents room. 9 of 9 staff continued to report that caregivers reposition residents and can obtain assistance from LVN when needed. On 02/01/24 LPA interviewed R1-R10 regarding the above allegation, 10 of 10 residents interviewed denied the allegation above reporting that staff are checking on resident often and their needs are being met. On 02/01/24 LPA reviewed repositioning log for R1 and did not observe any discrepancies. Allegation: Facility staff fails to provide resident with basic services. It is being alleged facility staff fails to provide resident with basic services when residents are asking for water. On 02/01/24 LPA interviewed CD regarding the above allegation, CD denied the allegation reporting that staff are constantly in residents room making sure residents have what they need. CD continued to report there is a list of bedridden residents which caregivers use to ensure residents have what they need. On 02/01/24 LPA interviewed S1-S9 regarding the above allegation, 9 of 9 staff interviewed denied the allegation above reporting that residents will use their pendants to request food/water and the caregivers will provide the items. On 02/01/24 LPA interviewed R1-R10 regarding the above allegation, 10 of 10 residents interviewed denied the allegation above reporting that staff are providing food/water when needed. 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 allegations are Unsubstantiated. Exit interview conducted with Executive Director Janie Acosta, and a copy of this report was provided.