Complaint·August 22, 2023

often to see if they need assistance with toileting. Interveiws with staff revealed that R1 has a catheter, and they affirm that incontinent residents are checked on every two (02) hours and have not told any residents to defecate or urinate on themself. During the time of the investigation upon record review, LPA observed the April 2023 PAL Approach Chart and Service Plan, R1 received assistance for incontinent care every (02) hours or as needed for toileting and catheter continence each shift. Based on interviews, observations, and record review there is not enough corroborating evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED at this time. #2. Staff do not ensure resident's showering needs are met. It is alleged that resident #1 (R1) hasn't bathed in 2 years. LPA conducted an interview with R1 at 2:47pm when asked if they refused showers? R1 stated “I don’t remember”. LPA asked if S2 gave them a sponge bath this morning? R1 replied “they probably did, but I don’t know”. At the time of the investigation seven (07) out of eight (08) residents confirm “they receive 3 showers per week”. Interviews with staff revealed that R1 refuses showers. S2 confirm that they give R1 a sponge bath in the mornings because they refuse showers when asked by staff. During the investigation LPA observed the April 2023 PAL Approach Chart and Service Plan, R1 receives a sponge bath during the first shift, but refuses a shower during second shift. Based on interviews, observations, and record review there is not enough corroborating evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED at this time. #3. Facility has lack of water supply. It is alleged that the facility is lacking water supply. To investigate the above allegation, LPA interviewed seven (07) out of eight (08) residents confirm they have not had any issues or disruptions with the water supply. Interviews with staff confirm they have not had any issues or disruptions with the water supply. Continued on LIC9099C. At the time of the investigation LPA observed (08) random bathrooms all to have a working water supply. LPA tested toilets, sinks and bathtubs all observed to be operating and functioning properly. Based on interviews, and observations there is not enough corroborating evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED at this time. No health and safety hazards are noted during this visit. No deficiencies cited. Exit interview conducted and copy of report and appeal rights issued.