complaint·October 10, 2022

Interviews with staff revealed that all hygiene needs are being met, that each resident has a shower schedule, are also showered more often if needed, and that caregivers are on standby for those who need assistance. Staff also stated that at times R1 refuses to shower and that they can only encourage R1 to shower but cannot force. During interviews with residents, they all stated (including R1) that their hygiene needs are being met and that they are being showered timely. During interviews with the RP, they stated that R1 was not being showered often enough, smelled at times, but they are also aware that R1 refuses to shower. During observations of residents, LPA found that they all appeared clean, well groomed and did not experience any malodor during the visit. Based on interviews and observations, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. --- Staff did not provide appropriate incontinent care. It was alleged that resident #1 (R1) is not getting assistance with diapering. To investigate this allegation, on 09/06/2022 at 12:30 PM, LPA interviewed staff and residents and, on 10/06/2022 at 01:30 PM, LPA interviewed the Reporting Party (RP). In addition to the interviews, on 10/10/2022 at 12:30 PM, LPA conducted a physical inspection of randomly selected rooms. Interviews with staff revealed that all incontinent care needs are being met, they change R1’s diaper up to three times a day, but are changing R1 more often, if needed. Staff also stated R1 always requests for two diapers at a time so that in the event they soil one, they may rip it off, discard it, and pull up the clean one. During interviews with the RP, they stated that the facility is not checking on R1 frequently enough and they are not changing the diaper as often as they should. During interviews with residents, they all stated (including R1) that their toileting needs are being met timely. Furthermore, LPA observed residents and found that they all appeared clean and did not see or smell any bodily fluids or waste during the visit. Based on interviews and observations, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. (Cont. on LIC 9099-C) --- Staff issued an improper eviction notice to resident. It was alleged that resident #1 (R1) was issued an eviction notice. To investigate this allegation, on 09/06/2022 at 12:30 PM, LPA interviewed staff and residents, on 09/06/2022 at 2:30PM, LPA requested pertinent documents and, on 10/06/2022 at 01:30 PM, LPA interviewed the Reporting Party (RP) and requested documents. Interviews with staff revealed that R1 was not issued an eviction notice. During interviews with the RP, they stated that, because they did not agree with certain charges, the facility issued an eviction notice. LPA asked RP to produce this eviction notice but they did not provide one. During interviews with residents, they all stated (including R1) that they have either never been issued an eviction notice or did not know whether they ever have been. Record reviews also confirmed that R1 was not issued an eviction notice. However, according to what was found in the R1’s file and what was provided by the RP, the responsible party failed to pay for a portion of the bill (for higher level of care) and it stated that failure to pay may lead to a termination of services “including potential eviction procedures” and on a different letter for an attempt to collect a debt it stated, if payment is not received “we have no choice but to terminate the Residency Agreement and commence eviction.” Based on interviews and record reviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. An exit interview was conducted, and a copy of this report was provided to the Executive Director, whose signature on this form confirm receipt of these documents.