Complaint·July 16, 2025

R1 noted the insect bit or stung them several times, and they had some red sores from it. R1 stated their foot swelled because they are allergic to bees. R1 noted the sores were painful at times, but the pain went away after a while. Interview with S1 at 10:45 a.m. on 05/22/25 revealed they brought R1 to a clinic within 24 hours of noticing the bites. Interview with the administrator at 11:00 a.m. on 05/22/25 confirmed that S1 took R1 to the clinic the day after discovering their leg sores. The administrator also noted that R1 had a history of leg swelling and edema, however the clinic staff noted R1’s sores were not an edema or swelling. Record review of R1’s clinical notes revealed R1 went to the clinic on 05/15/25 for assessment of their leg. Records indicated that no follow-up was necessary. R1 also disclosed that a nurse at the clinic said the sores were likely bug bites. Based on interviews and record review, staff sought medical treatment for R1 within a day of discovering R1’s sores. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. Regarding the allegation "Staff did not provide adequate hygiene care to resident" it was alleged R1 was not bathed in over a week and had fecal matter near their urethra. Interview with S1 revealed that the facility does not record logs for bathing and incontinence care. S1 noted that four (04) out of six (06) residents receive assistance with bathing and incontinence care. S1 checks those residents every two (02) hours and changes them if needed. S1 approximated that each resident is assisted with incontinence needs “three (03) to four (04) times” per shift. S1 stated that they change R1 every time before leaving the facility to ensure their hygiene is maintained. Interview with the administrator confirmed that residents are checked for incontinence needs every two (02) hours, and R1 was checked more frequently due to a history of incontinence issues. Interview with Staff #2 (S2) at 1:15 p.m. on 06/05/25 confirmed that residents are checked for incontinence needs at least every two (02) hours and bathed at least two (02) times per week. Interview with R1 revealed S1 was “a sweetheart” and changed and bathed R1 regularly. R1 had no issues with their care. Interview with Resident #2 (R2) at 9:15 a.m. on 05/22/25 revealed they had no issues with their incontinence and bathing care and had no irritation. Interview with Resident #3 (R3) at 9:35 a.m. on 05/22/25 revealed that staff were “very strict” about incontinence and bathing care and assisted R3 with bathing and toileting more frequently than R3 felt necessary. Based on interviews and record review, although the allegation is valid, there is no evidence to suggest that the staff did not provide adequate hygiene care. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. No immediate health or safety concerns were observed during today’s visit. Exit interview conducted. Copy of report provided.