complaint·August 25, 2023

On 07/27/23, LPA interviewed S1-S2. 2 of 2 staff denied the allegation that Resident sustained multiple falls in care. Both staff confirmed that R1 has never fallen at this facility before. This was the first time that R1 had fallen out of bed. S1 stated that R1 was placed in the bed with secure railings, that was set up with motion sensors. But somehow R1 fell out of bed. LPA verified that an incident report was sent to CCLD. R1-R5 could not be interviewed due to cognitive difficulties. Based on interviews, and records reviewed there is insufficient evidence to support the allegation: Resident sustained multiple falls in care. 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. Allegation #2: Facility staff failed to meet residents’ hygiene needs. On 07/27/23, LPA interviewed S1-S2. 2 of 2 staff denied the allegation that Facility staff failed to meet residents’ hygiene needs. Both staff confirmed that all residents’ hygiene needs are being performed daily. S2 stated, “ We make sure that the residents’ personal hygiene needs are taken care of daily. We make sure that they are bathed, dressed properly, and that when they use the restroom, they’re hands are washed and cleaned. As well as brushing their teeth”. R1-R5 could not be interviewed due to cognitive difficulties. Based on interviews and observations, there is insufficient evidence to support the allegation: Facility staff failed to meet residents’ hygiene needs. 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. No deficiencies were cited. An exit interview was conducted, and a hard copy of this report was provided to Karla Stein, Administrator.