complaint·January 8, 2024

Regarding the allegation: Staff did not change resident's clothing for multiple days. It is being alleged that the residents wear the same clothes for several days and are not changed by staff. Based on the resident, staff interviews and LPA observation staff change the resident’s clothing often. R1 states, “I can choose what to wear that day.” LPA did not observe the same clothing on the residents during LPA’s subsequent visit. Regarding the allegation: Staff restrained residents in care. It is being alleged that R1 and R2 are being tied down to their beds and wheelchairs with cloth straps. RP states there is no doctor’s order for the straps. LPA reviewed the record files and observed that there is a doctor’s order for the straps (postural support) and for the bed rails dated on 05/18/23, 07/21/23 and 09/29/23. Regarding the allegation: Staff do not provide adequate supervision to residents in care. It is being alleged staff intimidate the residents. Based on resident, staff interviews and LPA observation adequate supervision is provided. LPA observed R1 spends their time in the kitchen area with staff, R2 and R3 are in their room with a signal alarm button to call staff if they need anything. In addition, R1 states, “my husband is sick.” LPA observed R2 and R3 in their room due to limited mobility. LPA also observed music being played for R2 in their room. LPA did not observe inadequate supervision to residents in care. Based on the LPA's interviews, observations, and record reviews all four allegations above are unsubstantiated at this time. All copies of record/files were obtained. An exit interview was conducted, no citations were issued for the four (4) above allegations, and a copy of this report was given to the administrator.