complaint·May 21, 2024

The investigation revealed: Allegation: Staff do not provide resident with activities. It is alleged that resident is not included or encouraged to participate in activities. LPA interviewed six (6) staff and six (6) of six (6) staff denied the allegations. LPA interviewed two (2) residents and one (1) of two (2) could not collaborate the allegation. LPA attempted to interview four (4) other residents but was unsuccessful. R1 reported that staff never ask R1 to join in activities. S4 reported that S4 always encourages R1 at least 3 times for each daily activity to join in the activities but refuses. LPA observed S4 encouraging R1 to join in activities and R1 refused which is R1 right. LPA observed many residents participating in different activities during different times of visit. There is insufficient evidence to prove the alleged allegation. Allegation: Staff isolates resident while in care. It is alleged that resident is isolated by staff. LPA interviewed six (6) staff and six (6) of six (6) staff denied the allegations LPA interviewed two (2) residents and two (2) of two (2) residents could not collaborate the allegation. LPA attempted to interview four (4) other residents but was unsuccessful. R1 stated R1 likes to be alone and enjoys staying in R1 room listening to music. Staff reported that they encourage resident to leave room several times daily but refuses. There is insufficient evidence to prove the alleged allegation. Allegation: Resident is left in soiled diapers for an extended period of time. It is alleged that resident is left in soil diapers. LPA interviewed six (6) staff and six (6) of six (6) staff denied the allegations. Staff provided a task log to LPA that documents when diapers are changed and it is consistent with care plan. Staff stated that they will deviate from scheduled diaper change and provide service earlier than scheduled if needed. LPA interviewed two (2) residents and two (2) of two (2) residents could not collaborate the allegation. LPA attempted to interview four (4) other residents but was unsuccessful. LPA toured all the rooms in memory care and no room or common area had foul odors or evidence that residents are left in soil diapers. There is insufficient evidence to prove the alleged allegation. Allegation: Staff are not meeting resident's toileting needs. It is alleged that resident is not being assisted in toileting needs. LPA interviewed six (6) staff and six (6) of six (6) staff denied the allegations. Staff provided a task log to LPA that documents when personal care is provided and it is consistent with care plan. (continued) LPA interviewed two (2) residents and two (2) of two (2) residents could not collaborate the allegation. LPA attempted to interview four (4) other residents but was unsuccessful. There is insufficient evidence to prove the alleged allegation. Allegation: Staff do not ensure that resident has clean linens. LPA interviewed six (6) staff and 6 of 6 staff denied the allegations. LPA interviewed two (2) residents and two (2) of two (2) residents could not collaborate the allegation. LPA attempted to interview four (4) other residents but was unsuccessful. S3 reported that S3 is responsible to change the linens in all the resident's rooms once per week. S3 stated S3 will change the linens more frequently if they get soiled before the scheduled day. S3 stated that someone changed R1 linens today and S3 does not know who. LPA asked S3 to show LPA R1 linen that had just been changed and LPA observed it to be clean and dry. There is insufficient evidence to prove the alleged allegation. Based upon records review, interviews conducted, and observations made the findings indicate that, although the allegation(s) may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegations are Unsubstantiated. An exit interview was conducted with Executive Director Rhon Hipolito. A copy of the report was issued.