Complaint·August 22, 2022

The investigation reveals the following: In regard to " Insufficient staffing to meet resident needs.", it is alleged that there is one caregiver for over 20 residents and that this staff is responsible for feeding, changing diapers and medication management for all the resident. During the visit LPA observed S1 through S3 currently working. LPA conducted file review of the plan of operation and confirmed staff need to be on site 24 hours a day, 365 days a year to supervise and provide care to residents. The facility staffing schedule revealed 2 caregivers are on site 24 hours a day. Assistant Administrator confirmed staff schedule is up to date and there are always 2 caregivers at the facility. 3/3 staff confirmed 2 caregivers are always on duty. 5/5 residents confirmed at least 2 or more caretakers are always on duty. The investigation reveals the following: In regard to " Staff is not assisting resident with toileting ", it is alleged that that the resident urinates in a container and staff will dispose of the urine when resident is finished. If staff does not dispose of the urine in a timely manner, the resident throws the urine outside the facility on the fence. Due to staff working alone, the caregiver is not able to get to resident on time to dispose of the urine. Assistant Administrator confirm R1 throws urine outside and staff cleans it up. Assistant Administrator states R1 just started to exhibit this behavior and it maybe due to his mental status. 1/3 staff stated R1 throws his urine outside when R1 is upset with the staff. 1/3 staff stated R1 denies and forgets throwing urine outside and exhibiting a change in condition. 3/3 staff confirmed R1 do it any time R1 wants. 4/5 staff confirmed facility help residents when needed and have never heard of a resident throwing urine outside of the facility. 1/5 staff stated facility do not help whenever they call. During interview the resident denied throwing urine out of facility window. Based on LPA's interviews, investigation revealed: Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.