complaint·October 5, 2021

During interviews with residents 2 out of 8 residents stated to not need assistance from nurse at the facility and are independent and have observed others obtained assistance right away. 3 out of 8 residents stated that wellness team has responded right away or in a considerate amount of time to residents' needs. 2 out out of 8 residents stated it could take the wellness team up to 30 minutes to 90 minutes to provide assistance, and 1 out of 8 residents interviewed stated that wellness team does not respond when assistance is needed. During interviews with staff 3 out of 5 staff stated residents with colostomy bag are changed as needed or at least twice a day. 1 out of 5 staff stated residents with colostomy bag are 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 during wellness director's days off, and administrator stated that facility's policy for the wellness director to check on residents with colostomy bags upon arriving to the facility and before leaving the facility, and it may be change as needed per residents' request, and facility is responsible for that care. LPA reviewed residents' documents and it was revealed R4 needs assistance with changing colostomy bag. R4's physician's report states the following "colostomy bag - needs bag changed every 4 days or sooner PRN". Although R4 may request assistance with colostomy bag more often, the documentation reviewed and interviews conducted supports the facility is providing R4 with assistance per physician written orders and resident's request. 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 Carlos Lara and a copy of the report was provided.