complaint·May 16, 2022

Staff do not respond to resident's call light in a timely manner To investigate this allegation, LPA Martinez interviewed ten (10) residents and four (4) staff members. Eight (8) out of the ten (10) residents are bedbound or non-ambulatory. Seven (7) out of ten (10) residents stated when they pull the cord for assistance it can take a while for a staff member to come to the room. Residents stated on average it can be 20 minutes two (2) hours before a staff goes to the room to assist. Two (2) out four (4) staff stated caregivers need to be responding within five minutes of receiving the radio call that a resident is requesting assistance. Based on interviews obtained, this allegation is deemed Substantiated at this time. Resident left in soiled diapers for an extended amount of time To investigate this allegation, LPA Martinez interviewed ten (10) residents. Of these ten (10) residents, eight (8) require incontinence care. Interviews revealed that seven (7) out of ten (10) residents have been left in diapers for an extended amount of time. All these seven (7) residents stated they have waited on average a couple of hours to be changed due to insufficient staffing. Two (2) out of 10 residents who do not require incontinence care stated they are aware that residents are not being changed in an appropriate amount of time. One (1) resident out of ten (10) stated staff will change them in an appropriate amount of time. Based on the interviews obtained, this allegation is deemed Substantiated at this time. Deficiencies on 809-D. Exit interview conducted. Report signed and delivered. Appeal rights delivered.