complaint·November 3, 2023

It was also observed that each facility staff has a radio that is carried around to communicate amongst the other staff to update on a resident's whereabouts are. LPA reviewed the pendant tracking report for the month of October and observed that the average response time was between twelve to twenty three minutes. It was alleged that staff do not ensure that residents are bathed. LPA observed that the facility tracks a resident's bathing schedule through a bathing log. LPA conducted 3 staff interviews who stated that if a resident declines in wanting to be bathed, not only is it documented, but staff will inform the resident's family of refusal, and depending on the resident's admission agreement, the facility will offer a refund. The 4 interviews conducted with residents stated that there were no concerns regarding bathing because the caregivers do a "good job" at ensuring bathing needs are met. Based on LPA’s interviews which were conducted, review of documents obtained, and observations, LPA is unable to ascertain if the allegation occurred as reported. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, this allegation is deemed UNSUBSTANTIATED. An exit interview was conducted with ED Vadnais . A copy of this report was provided and explained.