complaint·October 20, 2022

LPAs requested and reviewed facility's Personnel Report (LIC 500) and interviewed staff assigned to R1's care. Interviews with two staff revealed they have never pulled R1's hair, pushed R1 out of their wheelchair, nor drag R1 on the floor. Both staff stated they have never verbally or physically abused R1. Both staff indicated R1 has lots of bad days that include R1 cussing, yelling, declining services such as showers, eating, and incontinence care. When R1 is having a good day, staff are able to provide all of the services without any issues from R1. Interview with administrator revealed they have not witness nor heard any complains from residents in which staff are pulling residents hair, pushing resident out of their wheelchair, or dragging resident on the floor. Based on interviews, these allegations is deemed Unsubstantiated. Allegation 4: Resident's personal belongings are not safeguarded while in care It is alleged that resident’s (R1) clothing is being stolen during laundry service. To investigate this allegation LPA interviewed R1 and administrator. Interview with R1 revealed they have no issues with their clothes being stolen or missing. R1 stated once the laundry is completed staff will drop off R1’s clothing back inside their room in a black bag. Interview with administrator revealed if clothes are reported missing by a resident, facility staff will search for the missing items and return the items to the resident once found. Based on interviews, this allegation is deemed Unsubstantiated. Allegation 5: Resident's incontinence needs are not being met. To investigate this allegation, LPAs conducted interviews with the Administrator, one resident, and two staff. The Administrator stated they are not aware of any issues regarding incontinence needs not being met and states that staff often deal with residents declining to be changed at that given moment. An interview with two staff (S1 & S2) revealed that R1 declines to be changed constantly. They both stated that R1 does not like to have their diaper changed. Lastly, both staff state that during their 8-hour shift, they attempt to change R1 between 3-4 times. LPAs interviewed R1, to which R1 stated that they only get changed twice a day, but if they have a bowel movement, staff will come and change them. Based on interviews conducted, there is insufficient evidence to prove “resident’s incontinence needs are not being met” therefore, this allegation is deemed Unsubstantiated at this time. Allegation 6: Resident is not being fed while in care. To investigate this allegation, LPAs conducted interviews with R1, the Administrator, and two staff. Additionally, LPAs collected a weekly menu and observed residents eating in the dining area. The Administrator stated that to his knowledge, there has been no complaints or issues regarding residents not being fed. Administrator stated that if residents want to eat at different times or have food brought to their rooms, it is accommodated. An interview with R1 revealed that if they want food, they go to the dining area where food is provided. However, R1 stated that they do not like to go to the dining area and would rather eat in their room. R1 stated they are not always fond of the food, but when they are hungry it is provided. S1 and S2 both stated that R1 often refuses to eat when meals are offered. In fact, S2 stated that R2 denied breakfast and lunch today. Based on interviews conducted, this allegation is deemed unsubstantiated at this time. Allegation 7: Resident is not being provided physical therapy while in care. To investigate this allegation, LPAs conducted interviews with R1 and the Administrator. An interview with the Administrator revealed that the facility does not provide physical therapy to any residents in care, nor have they told residents that they provide such service to them. The Administrator stated that if residents require physical therapy, it is coordinated with outside agencies. An interview with R1 revealed that R1 does not get physical therapy and is unsure if the facility provides physical therapy. R1 does not know if they are supposed to received physical therapy. LPAs conducted record review – such as physician reports and pre-appraisal of needs and services, none of which indicate that R1 requires physical therapy. Based on interviews conducted and record review, this allegation is deemed unsubstantiated at this time. No deficiencies cited. Exit interview conducted. Report signed and delivered. Appeal rights delivered.