Complaint·May 6, 2024

CONTINUED FROM LIC9099 During the follow-up visit, LPA conducted or attempted interviews with five residents out of the 49 currently admitted individuals, multiple of which were among the residents who tested positive during the COVID outbreak reported in February 2024. Regarding the allegation that Staff are not following infection control practices, the following has been concluded: During the walk-through of the facility conducted on February 13, 2024, LPA observed that all residents who had tested positive had been put in isolation in a clearly identified wing of the facility. The use of Personal Protection Equipment was confirmed and disposal bins for donning and doffing were observed at both exits of the isolation section of the facility. It was also confirmed that facility had reported the cases as required and solicited guidance from the local public health authority and used that guidance to manage the outbreak. The presence of COVID-positive residents was confirmed to be notified to potential visitors and marked throughout the facility. Regarding the allegation Staff failed to provide adequate incontinence care to a resident, the following has been concluded: during the walk-through of the facility's physical plant as well as during interviews conducted during the present visit, LPA observed residents were clean, well-kept and that the facility was free of odors associated with the failure to manage incontinence. Interviews conducted failed to corroborate a failure to provide adequate incontinence care to the residents. Furthermore, records reviewed during the visit demonstrated the presence of a surveillance system designed to ensure the adequate monitoring of residents with incontinence issues. As a result, both allegations are found to be Unsubstantiated, meaning that although the allegations may have happened or are valid; there is not a preponderance of evidence to prove that the alleged violations did or did not occur. An exit interview was conducted, and this report was reviewed with Executive Director. A copy of this report was provided to a facility representative.