complaint·December 8, 2025

The investigation revealed the following: Allegation: Staff left resident soiled overnight. It is alleged that R1 was left soiled and dirty by facility night staff. LPAs checked supplies for incontinence care and observed a sufficient supply within the facility and extra supplies in the detached garage. LPAs reviewed R1’s physician report and Home Health Care Plan, and it was noted that R1 uses a condom catheter that they are able to drain themselves. LPAs interviewed 3 staff and each denied the allegation and stated that R1 does not use diapers or require caregivers to provide incontinence care as R1 uses a condom catheter that they are able to drain themselves. LPAs interviewed a total of 6 residents and 5 out of 6 residents denied the above allegation and stated that they do need the use of incontinence care and staff provides the required care for them, last rounds are done around 9pm and they are provided with an overnight, extra absorbent diaper and a bed pad, and the first round the next morning by 7am. 5 out of 6 residents stated they had not issues or concerns when in regards to their incontinence care needs. Based on statements and interviews conducted with staff/residents, and review of R1's file, there was not enough supportive evidence to concur with the reported allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED . Exit interview held, and a copy of this report was provided.