complaint·March 16, 2025

During the physical plant tour, LPA observed that all residents were clean, well-groomed and did not experience any malodor. A review of R1’s Physician’s Report revealed that R1 is incontinent and can communicate their needs. During interviews with staff, all staff stated residents are not left soiled for an extended time and all incontinent residents are checked on every two hours and changed as needed. Staff #1 (S1) added R1 wears more than one diaper at a time due to their large frame. S1 states that R1's diaper is constantly changed throughout the day and that they are given a bath three (03) times per week. While at the hospital R1 was found to have a urinary tract infection (UTI). R1 is able to communicate their needs and they did not notify staff that their diaper was wet and needed to be changed. During interviews with residents, all residents stated they are not left soiled for an extended time and that staff check on them on average every two (02) hours. LPA was unable to interview R1 at the time of the visit. Based on observations, interviews and record review, there is not enough information to verify the allegation. Therefore, the allegation will remain UNSUBSTANTIATED at this time. No health and safety hazards noted during the visit. Exit interview conducted. Copy of this report issued.