complaint·April 9, 2025

Regarding the Allegation : Facility staff did not meet residents’ incontinence care needs. This complaint alleged that staff did not meet incontinence care plan for R1. LPA Calderon toured the facility to include R1 room. LPA noted diapers, cleaning supplies, shower seat, creams to take care of R1 private parts. Records review indicate the following: R1 ISP, Physician report indicate health issues Incident reports indicate that R1 was taken to the hospital and evaluated with a UTI. Shower logs indicate that R1 was given a bed bath 11 times between 02/10/2025 to 04/07/2025. St. John Hospital record for medication for diagnosis Acute Cystitis without hematuria. Interviews indicate the following: 5 out of 5 staff deny not providing incontinence care for R1 or any other resident in care. R1 indicates that staff did not change R1 diaper until 12 noon. R1 indicates that staff did provide a shower to R1 every day of the week. R2 indicates that staff did not change R1 diaper until lunch and did not provide a shower weekly. 7 out of 9 residents indicate no need for incontinence care currently. 7 out of 9 residents indicate that they have seen staff provide incontinence care to other residents. Based on interviews and supporting documentation, the preponderance of evidence standard has NOT been met therefore, the allegation of “facility staff did not meet residents’ incontinence care needs” found to be UNSUBSTANTIATED. No deficiencies cited during today's visit. An exit interview was conducted, and a copy of the Complaint Report were provided to the Administrator Nathaniel Venzon (S1).