complaint·January 2, 2025

Report Continued from LIC 9099... It was alleged that staff did not meet a resident’s laundry needs and staff did not ensure that a resident’s room was free of trash. It was reported that a resident was wearing wet clothes, blankets appeared wet, and the laundry hamper was full of soaking wet clothes. Additionally, the wastebasket in the resident’s room bathroom was full and had not been emptied. During a walkthrough on 03/05/2024, the LPA observed five (5) random resident rooms in the Neighborhood. The rooms appeared relatively clean, linens were not soiled, or wet, dirty laundry was observed in the hamper, and trash cans were not overflowing. Record review and interviews conducted revealed that housekeeping is scheduled at least once a week for each bedroom in memory care. Staff members stated that they are assigned a group of residents to care for daily, and some of their duties include cleaning and maintaining the residents' rooms and doing their laundry. Staff also mentioned that resident bedding is typically changed every few days but will be changed sooner if needed. Interviews further revealed that staff are responsible for taking out the trash; however, any shift can handle taking out the trash as it is included in their assignments. Additionally, interviews with residents corroborated staff statements, as residents confirmed that staff maintain their rooms clean. Based on the information obtained and reviewed, the Department has insufficient evidence to support the allegations of “staff did not meet a resident’s laundry needs” and “staff did not ensure that a resident’s room was free of trash”. Therefore, these allegations are deemed Unsubstantiated at this time. It was also alleged that staff falsified a resident’s care documents. It was reported that staff are signing off on completing tasks and caring for residents needs when in fact they have not. Interviews with staff revealed that each team member is assigned specific duties to complete while caring for the residents on a daily basis. Staff sign off after each task is completed to inform the next shift about what still needs to be taken care of. During shift changes, staff typically communicate with one another about tasks that are still pending for the day. Staff mentioned that during crossover, they inform the incoming team if any laundry or cleaning is still required for their assigned residents. Additionally, staff reported that there have been no issues with other shifts failing to complete the tasks assigned to them. Based on interviews conducted with staff, the Department has insufficient evidence to support the allegation of “staff falsified a resident’s care documents”. Therefore, this allegation is deemed Unsubstantiated at this time. Report Continued on LIC 9099C... Report Continued from LIC 9099C... It was further alleged that staff did not prevent resident’s from playing in their feces. It was reported that due to lack of staff, residents were left unattended which resulted in residents playing in their feces. Interviews conducted with staff revealed that incontinent residents are typically changed every two (2) hours or sooner if needed. Staff stated that they have never witnessed or encountered any residents playing with their feces. However, there have been occasions when a resident has placed their hand in their pants, resulting in their hand being covered in feces. Despite this, staff have never observed the resident playing with or smearing the feces. Staff reported that they wash the resident's hands and change them, unless the situation is more severe, in which case they will give the resident a shower to ensure they are thoroughly cleaned. Based on interviews conducted, the Department has insufficient evidence to support the allegation of “staff did not prevent resident’s from playing in their feces”. Therefore, this allegation is deemed Unsubstantiated at this time. No citations issued. Exit interview conducted. Report was reviewed and copy issued.