complaint·March 11, 2025

Interviews conducted with residents revealed staff are assisting residents with ADLs and changing them as needed. Interviews conducted with staff revealed caregivers assist residents with bathroom reminders and changing residents with incontinence at least every two hours or as needed. Per administrator, residents are change every two hours. Staff have been provided training prior to employment and have provided in-service training regarding hygiene practices. Administrator added that they will be implementing a protocol to ensure that there are records regarding care provided to resident #1 (R1). Per document review R1 does require assistance with all ADLs, including toileting. On 1/16/25 Staff In-Service Training was provided on Proper Hygiene Practices. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED . Exit interview was conducted with Madelene Sanchez and a copy of this report was provided.