complaint·January 8, 2026

Regarding the allegation "Staff did not meet a resident's incontinence need" it was alleged Resident #1 (R1) developed a Urinary Tract Infection (UTI) due to insufficient catheter care. Interview with R1 at 11:30 a.m. on 11/05/25 revealed staff have met all of their incontinence needs. R1 had no issues with the catheter care provided. Home health nurses come regularly to clean out and change the tubing while facility staff change the bag. Interviews with residents revealed no issues with the facility’s incontinence care. Record review of R1’s home health records revealed they received skilled nursing assistance through home health to flush their catheter weekly and change it monthly. Review of R1’s care plan revealed they can manage their own incontinence care with assistance and reminders from staff. Interviews with the Wellness Director at 9:30 a.m. on 08/14/25 and the administrator at 10:00 a.m. on 08/14/25 revealed staff followed R1’s care plan as directed. Interviews with Staff #1 (S1) at 11:00 a.m. on 08/14/25 and Staff #2 (S2) at 11:15 a.m. on 08/14/25 revealed staff have provided incontinence care to R1 at least once a day, every day. Based on record review and interviews, staff and home health nurses followed R1’s care plan and provided sufficient incontinence care. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. Regarding the allegation "Staff did not meet a resident's grooming need" it was alleged R1’s toenails were too long. Interview with R1 revealed the Wellness Directors have been “on top of things” in regards to arranging podiatry appointments. R1 noted they receive podiatry care for their toe nails every 1 – 2 months. During the interview at 11:30 a.m. on 11/05/25, LPA observed R1 to be neatly groomed with trimmed nails. Interview with a Wellness Director at 9:30 a.m. on 08/14/25 revealed a podiatrist comes to the facility every month. The Wellness Director has ensured that R1 attended all podiatry appointments. Record review of R1’s physician orders from 05/09/25 indicated the facility was to ensure R1 had their toenails trimmed every 2 months. Interviews with residents revealed their podiatry and grooming needs were met by the facility. Based on observations, interviews, and record review, staff met R1’s grooming needs. 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