complaint·August 25, 2023

The investigation revealed the following: Regarding the allegation " staff left resident soiled for an extended period of time ", it is alleged that on 09/06/2022, R1 had a bowel movement and requested assistance from S1 to get changed, but S1 refused to assist R1 and R1 had to wait until 2am to be changed by S2. Assistant Administrator stated this incident was never brought up to his attention by R1. S2 denied the allegation. Residents interviewed could not corroborate the allegation. There were 3 residents that stated they have never soiled themselves, but believed that staff would provide timely assistance. The other 3 residents stated that they have soiled themselves in the past and staff provided timely assistance. Regarding the allegation " staff do not provide quality food to residents ", it is alleged that the food at the facility tastes and looks like cat food. Facility denied the allegation and stated they follow a dietician's recipe to prepare good quality food. Residents interviewed could not corroborate the allegation. During the tour of the kitchen on 11/03/2022 and today, LPA observed that the food had good presentation. Regarding the allegation " staff do not assist with resident's showering needs ", it is alleged that R1 did not received the scheduled shower on 0 9/02/2022. Assistant Administrator stated that R1 did not received his scheduled shower on that day because R1 was not at the facility. There is text message dated 09/04/2023 between Assistant Administrator and a staff where the staff texted the Assistant Administrator that R1 was not in the facility on 09/02/2022. Residents interviewed could not corroborate the allegation and expressed no concerns. Regarding the allegation " staff do not provide resident with clean clothing ", it is alleged that R1 is not getting assistance with changing clothes. Assistant Administrator and staff denied the allegation. They stated that R1 was offered a change of clothes every morning. Residents interviewed could not corroborate the allegation and expressed no concerns. Regarding the allegation " staff do not provide resident with clean linen ", it is alleged that R1 's bed sheets are supposed to be changed twice per week, however that does not happen. Assistant Administrator and staff denied the allegation and stated that bed sheets are changed once a week or as needed. Residents interviewed could not corroborate the allegation and expressed no concerns. (Continued to LIC 9099-C) Regarding the allegations " resident's call button is in disrepair " and "staff do not respond to resident's call button , it is alleged that R1's call light button either does not work or staff do not respond. Assistant Administrator and staff interviewed stated that R1 did not report any issues with the call light button. They also stated that staff do respond to all call light request in a timely manner, usually within 10 minutes. Residents interviewed could not corroborate the allegation and stated that staff show up quickly, right away or within 10 minutes. Regarding the allegation " resident's urine container is not properly disposed ", it is alleged that R1's urinal container on the side of resident ' s bed is not emptied in a timely manner. Assistant Administrator and staff denied the allegation and stated that those containers are emptied as needed. Facility does not have many residents that use a urine container. During the 11/03/2022 visit, LPA interviewed 2 residents that use it and they expressed no concerns, and observed that their urine containers were empty and cleaned. During today's visit, LPA walked into 3 resident bedrooms that use the urine containers and observed that the containers were emptied and cleaned. Regarding the allegation "staff do not treat resident with dignity or respect", it is alleged that when R1 request for assistance with care and housekeeping duties, the staff respond with an attitude. Staff denied the allegation and stated that all residents are treated with respect. Residents interviewed could not corroborate the allegation and expressed no concerns. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. Exit interview held and a copy of the report was provided