complaint·July 7, 2023

The investigation revealed of the following: Allegation#1 " Staff do not meet resident's incontinence needs" LPA interviewed residents and stated that staff are able to meet their needs. They were always clean and staff are checking on them regularly to ensure they are safe. LPA interviewed staff and reported they assisted residents to take shower every day if they want to. The also change residents' diapers three times a day or as needed. They would also check on them every hour if they stay in their room. For R1, Administrator and staff reported R1 was very agitated and aggressive. R1 liked to remove the diaper and put hands into the diaper. For the particular incident, R1 took diaper off after bowel movement, and spread the feces all over the room including the R1's body, bed, blanket, pillow and floor. Staff did the regular room check and saw R1 and cleaned R1 immediately and attempted to take R1 to shower but R1 was very aggressive, moved around and refused to take shower, therefore staff only cleaned R1 with bed bath and cleaned the room and changed the bed sheet, pillow and everything. During today's visit, LPA observed all the residents are clean and in good hygiene and the residents' room are clean and no odor. Allegation#2 " Staff did not properly supervise resident" LPA interviewed residents and residents reported they all feel safe living in the facility and staff are supervising them well. LPA interviewed staff and reported they did room check regularly like every hour and ensure residents are safe and clean. According to the administrator and staff, R1 always attempted to stand up from the wheelchair or bed but R1's leg was very weak. R1 cannot even stand well. About R1's fall incident, staff reported it was happened around mid-night and heard some noises from R1's room and went to check and saw R1 attempted to get out of bed but R1 slid out of bed and lean on the bed and wall. The staff immediately assessed R1 to see if R1 had any injury. After the assessment, R1 did not have any injury and staff picked R1 up and put R1 back to bed. Based on the observation, interviewed conducted with staff and residents and documents review , 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. Exit interview conducted and a copy of the report and appeal right was provided to the administrator Briana McGee.