complaint·June 5, 2024

Staff do not ensure residents receive adequate incontinence care- Complainant alleges residents are not being cleaned properly after being changed out of their soiled incontinent products and there is not enough incontinent products. LPA made unannounced inspections of facility on 5/29/2024 & 5/30/2024 and observed most of the 9 resident rooms inspected had supplies of incontinence products in their bathrooms or bedrooms. LPAs interview with staff revealed they check all rooms that use these products every Friday and if a resident is low on supplies staff calls the families or if they are on Hospice, they call the hospice company. There is also a storage room on the 2 nd floor that LPA observed to have extra supplies of incontinence products (wipes, depends, gloves) and was told by staff if a resident runs out before their supplies are replaced, they can use these. The house supplies are also checked every Friday. LPAs interviews with 4 staff and one hospice employee who cares for a resident with incontinence issues revealed there has not been any issue with incontinence care supplies. Although it was alleged Staff do not ensure residents receive adequate incontinence care may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated . Staff do not ensure safe food service practice is followed - Complainant alleges kitchen staff do not practice safe food service by wearing hair nets. LPA conducted annual inspection on 5/29/2024 & 5/30/2024 of facility which included inspection of the kitchen area on dates inspected. The kitchen appeared to be clean as well as organized. Title 22 does not enforce kitchen staff to wear hair nets. Although it was alleged Staff do not ensure safe food service practice is followed may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated .