complaint·August 10, 2021

3 out of 8 residents stated that wellness team has responded right away or in a considerate amount of time to a pendant call for assistance. 2 out out of 8 residents stated it could take the wellness team up to 30 minutes to 90 minutes to respond to a pendant call for assistance, and 1 out of 8 residents interviewed stated that wellness team does not respond to pendant calls. During interviews with staff 3 out of 5 staff stated residents' with colostomy bag are changed as needs or at least twice a day. 1 out of 5 staff stated residents' with colostomy bag is change every other day and 1 out of 5 staff stated not to know how often the colostomy bag is changed. Wellness director stated that home health care is assigned to residents' with colostomy bag to assist with care and administrator stated that facility's wellness director checks on residents' with colostomy bags upon arriving to the facility and before leaving the facility, it may be change as needed per residents request, and facility is responsible for that care. LPA reviewed residents documents and it was revealed R1 needs assistance with changing colostomy bag. R1's physician's report states the following "colostomy bag - needs bag changed every 4 days or sooner PRN". Although R1 may required assistance differently the documentation reviewed supports the current care provided to the resident. Based on LPA's observations, interviews and documents reviewed the preponderance of evidence standard has been met, therefore the above allegation(s) are found UNSUBSTANTIATED. Exit interview was conducted with Executive Director, Carlos Lara and a copy of this report was provided.