complaint·March 14, 2023

Allegation #1: Staff did not assist resident in obtaining dental care It is alleged R1 asked the staff to take him to the dentist and the staff did not. To investigate this allegation LPA interviewed 8 residents, 3 staff that provide assistance to R1 and reviewed records. Admissions agreement revealed and Mary confirmed facility will assist residents in receiving medical care and transportation to medical appointments if residents or resident's family request it. Interview with R1 revealed he could not chew his food due to tooth pain and had told a female staff. R1 could not remember the name of the person or describe them. Interview with 3 out of the 3 staff revealed R1 did not complain about tooth pain or let them know he could not chew his food properly. Interview with 2 out 8 residents who stated they have been to medical appointments recently state they had a family member take them and 2 out of the 8 state they have informed staff to make an appointment. Based on the information obtained, there was insufficient evidence to confirm the allegation occurred. Therefore this allegation is deemed Unsubstantiated at this time. Allegation #2 Staff are not assisting resident with ADLs It is alleged R1 is not receiving help with hygiene such as brushing teeth, showers and toileting. To investigate allegation LPA reviewed R1's records which revealed R1 requires assistance with showering, grooming, personal hygiene and escorting/transfers due to fall risk. Further, records reveal R1 is able to care for their own toileting needs. Facility records reveal services needed by residents are displayed for staff such as caregivers and med-techs to follow. Interview with S1 revealed R1 has refused to shower if S1 is not the one assisting. S2 confirmed R1 has refused showering because they did not want S2's assistance. R1 corroborated they prefer to be assisted by S1 only. R1 revealed in interview they brush their own teeth. LPA reviewed daily activity log, where caregivers document activities completed or refused by residents in care. Based on the information obtained, there was insufficient evidence to confirm the allegation occurred. Therefore this allegation is deemed Unsubstantiated at this time. Allegation #3: Staff are not cleaning resident's room It is alleged that R1's room and bathroom are dirty. To investigate this allegation LPA took a tour of R1's bedroom and observed bedroom to be clean and clear of clutter. LPA observed the bathroom to have a clean disposable incontinence pad on the floor and urine in the toilet bowl. LPA's interview with R1 and review of R1's records revealed R1 is able to take care of toileting needs. (Continued on LIC9099C) (Continued LIC9099C) Interview with 2 out of the 3 caregivers who provide direct care to R! revealed that R1 uses the bathroom on their own but they will see urine on the floor and have to clean it up. Caregivers also revealed they place a pad on the floor to prevent R1's roommate from slipping on urine if it ends up on the floor. Based on the information obtained, there was insufficient evidence to confirm the allegation occurred. Therefore this allegation is deemed Unsubstantiated at this time. Exit interview conducted. Report signed and delivered.