complaint·August 11, 2022

2 out of 2 staff interviewed denied the alleged incident occurred and stated that R1 did not wear diapers and did not receive diaper changes from facility staff. Staff #1 (S1) stated that when R1 moved in R1 was independent, did not wear diapers or receive incontinence care, only needed help with showers. S1 stated that around 06/01/22 a resident moved in next to R1 who needed total care and that R1 became jealous and wanted the same amount of care, although R1 did not need it. At that point, the facility began providing R1 with pull-ups (which are considered underwear and not diapers) which R1 changed themselves. Per S1, residents on pull-ups do not receive changes, but residents on diapers do receive changes, and R1 was never on diapers and was only ever on pull-ups. LPA’s review of Assisted Living Residents Assignments dated 03/03/22, 06/02/22, 07/05/22 (which show the care items to be received by individual residents) corroborated S1’s statements as these documents showed R1 received no incontinence care on 03/03/22 and pull-ups on 06/02/22 and 07/05/22. Per interviews with 2 staff and 1 resident, R1 has a history of making up rumors and otherwise saying untrue things about residents and staff when R1 is jealous or angry at them. During the inspection, LPA interviewed R1 via telephone and R1 admitted the alleged incident did not occur. R1 stated that R1 never received diaper changes while living at the facility, that R1 is independent and does not need this service, and that no one at the facility ever changed R1’s diaper against their will. LPA confirmed these statements with R1 3 times during the call. The Department has investigated the above allegation and found it to be Unfounded, meaning the allegation was false, could not have happened, or is without reasonable basis. An exit interview was conducted and a copy of this report was discussed with and provided to facility representative.