Complaint·January 30, 2023

Regarding the allegation: “Resident sustained a stage 1 pressure injury while in care due to staff neglect” On 09/14/2022 during interviews conducted it revealed the following, 5 out of 7 residents did not know about the allegation, resident R#1 stated, “I don’t know” . 2 out of 7 residents disagree with the allegation, resident R#6 stated, "I could not tell you my roommate has a sickness and staff check on him all the time. I never saw any staff neglect". 0 out of 7 residents agreed the with allegation. 2 out of 5 staff did not know about the allegation, Staff S#3 stated, “I don’t know I just do cleaning”. 3 out of 5 staff disagree with the allegation, staff S#2 stated, “I have not seen a resident with a stage 1 pressure injury and no staff has reported to me about a pressure injury”. 0 out of 5 staff agree with the allegation. Based on interviews the above allegation is Unsubstantiated. Regarding the allegation: “Resident had feces on his feet due to staff not meeting residents hygiene needs” On 09/14/2022 during interviews conducted it revealed the following, 3 out of 7 residents did not know about the allegation, resident R#3 stated, “I don’t know and I don’t have any knowledge of that”. 4 out of 7 residents disagree with the allegation, resident R#5 stated, "No, I never seen that most of them wear diapers” 0 out of 7 residents agreed the with allegation. 5 out of 5 staff disagree with the allegation, staff S#1 stated, “Not true, I have a schedule for shower and every 2 hours we change briefs but if it is an emergency we change right away”. 0 out of 5 staff agree with the allegation. Based on interviews the above allegation is Unsubstantiated . Based on interviews the above allegation is unsubstantiated. Although the allegation may have happened or is valid, there is not preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.” Exit interview conducted and a copy of report was provided Assistant Administrator, Cecilia Torres.