Complaint·November 4, 2024

Between 12:15 pm, and 2:00 pm, LPA interviewed two (2) Medical Technician Staff, and conducted an observation of R1's bedroom. Allegation: Facility staff do not provide adequate incontinent car e- It was reported, for an extended period of time, R1 had been left in soiled diapers. . LPA's review of R1's Physician's report, and Appraisal/Needs Assessment reveals that R1 does not require assistance with bathing, dressing, toileting, and personal hygiene: Per R1's Primary Care Physician, (PCP) R1 is able to complete most Activities of Daily Living (ADL's) with minimal assistance. LPA observed R1 wearing clothes which were clean and dry. LPA observed R1's room finding it clean, and with no urine smell. R1's clothes hamper contained some worn clothing items, however no urine stains, nor smell present. Interviews with staff, and F1 reveal that R1 is consistent with accomplishing toileting needs on their own, with occasional assistance from staff. Based on the information obtained through LPA observation, records review, and interviews, it cannot be proven that staff is failing to meet the resident's incontinent needs. Therefore, the allegation is deemed Unsubstantiated at this time. Allegation: Staff do not ensure resident's hygiene needs are being met - It was reported that R1 was not assisted with showing, and tooth brushing tasks. LPA's review of R1's Physician's report, and Appraisal/Needs Assessment state that R1 does not require assistance with bathing, and personal hygiene as R1 is able to complete these tasks with minimal assistance. LPA interview with responsible family member (F1) revealed the following: F1 visits R1 at least once per week. F1 says R1 sometimes refuses assistance with showering and tooth brushing. However, staff contact F1 when R1 refuses to staff assistance. Interviews with staff reveal that R1 will sometimes refuse their assistance. However, R1 will accept staff assistance with F1's encouragement when contacted. Based on the information obtained through LPA records review, and interviews, it cannot be proven that staff is failing to ensure R1's hygiene needs are being met. Therefore, the allegation is deemed Unsubstantiated at this time.