Complaint·February 13, 2024

and allegation #8 - Staff do not practice social distancing that the allegations were unsubstantiated. Interviews were also conducted with the 6 staff regarding the other five allegations during the initial visit and it was determined that further investigation was needed to make a finding. On today's visit, LPA Yee conducted an interview with Elizabeth Whittington, Executive Director at 12:10pm, Maria Calderon, Wellness Director at 1:30pm, Staff #1 at 1:59pm and Resident #1 at 2:34pm. The four facility bathrooms located on the first floor and each of the bathrooms located on the second floor through the fifth floor were toured beginning from 2:31pm through 3:05pm and all were observed to be clean. One of the bathrooms located on the first floor by the elevators was observed being cleaned during today's visit. Per information obtained from interviews at the time of the initial visit on 2/8/22 and today regarding allegation #1 - Staff are neglecting residents in care, staff state that they do not neglect the residents. Residents are monitored by staff. Staff are on hand to provide assistance to the residents getting to the bathroom, changed, cleaned and transferring. If the residents do not feel well, they ensure that the resident get's the care that they need. If something is observed, it is reported to management and the appropriate care or action is taken. Staff do not neglect to address any health concerns observed such as rashes on a resident. Based on the information obtained, there is insufficient evidence to support the claim that the staff neglected the residents in care.. This allegation is deemed Unsubstantiated at this time. Regarding Allegation #2 - Residents' hygiene needs are not being met, interviews reveal that residents who need assistance with bathing are placed on a bathing schedule. Some resident's request daily showers and some are bathed two times a week or the family requests more showers. If residents refuse to take a bath it is documented and the residents are encouraged during the evening shift if they refused to bath in the morning. Residents are also offered a bath the following day. Per Staff, they just come back at a later time and offer the shower again. The reasons that the residents refuse to bath are due to being tired, it being too cold or not feeling well. Currently Resident #3 is refusing to shower and the family is involved in encouraging Resident #3 to shower due to the resident being combative with staff. Based on the information obtained, there is insufficient evidence to support the claim that the residents' hygiene care are not being met. This allegation is deemed Unsubstantiated at this time. Regarding Allegation #4 - Staff leave residents unattended in soiled diaper for extended periods of time. Per interviews conducted with staff, residents are checked and changed every 2 hours. Residents are not left in a dirty diaper. Per interviews conducted during the initial complaint, a regular staff did observe residents left in wet diapers on the night shift covered by staff hired through an employment agency. The regular staff would change them in the morning. Residents are also able to ask staff to change them. Based on the information obtained, there is insufficient evidence to support the claim that staff leave residents unattended in soiled diaper for extended periods of time. This allegation is deemed Unsubstantiated at this time. Regarding Allegation #5 - Residents sustained diaper rashes while in care, staff interviewed state that their residents do not have diaper rash. They are checked every 2 hours and the residents do not develop diaper rashes. There are a couple of residents who have a rash or redness but it is not diaper rash, some residents like to stay in bed or sit all day. Per interview with the Executive Director, they currently have a new resident who sits all day due to fear of falling. As a result of sitting all day, the resident has redness in the bottom area. Based on the information obtained, there is insufficient evidence to support the claim that the residents sustained diaper rashes while in care. This allegation is deemed unsubstantiated at this time. Regarding Allegation #6 - Staff are failing to meet residents’ needs, staff state that they take good care of the residents. Staff state that they are meeting the needs of the residents. Residents are monitored by staff for any changes in their condition. Prescribed medications or creams are given or applied to ensure that the resident's health condition is healing or appropriate medical attention is obtained. Just recently, Resident #2 who was admitted with an ongoing leg condition was observed with swollen and weepy legs by staff. Resident #2 also complaint that there was burning pain in the legs. Staff ensured that the resident was sent to the hospital for treatment despite objections from a family member. Based on the information obtained, there is insufficient evidence to support the claim that the staff are failing to meet residents needs. This allegation is deemed unsubstantiated at this time. No citation were issued on today's visit. Exit interview was conducted with Maria Calderon and a copy of the report was provided