Complaint·July 28, 2023

CCL received allegation stating facility staff are neglecting resident’s needs. The Department conducted interviews and received statement from a total of six (6) facility staff and two (2) residents. The Department requested and reviewed resident (R5) physician’s report and service plan. According to R5’s physician’s report, R5 cannot manage own medication. R5 has bowel and bladder impairment. R5 wears briefs and is not capable of caring for own toileting needs. According to R5’s service plan, staff is to observe R5 for redness, discoloration, or open areas to skin for risk of skin break down. R5 requires a 1-person assist with transfers. R5 needs 2-person assist with toileting. The Department conducted interviews with a total of six (6) facility staff and two (2) residents. According to staff (S1), the facility has been experiencing staffing issues. Interview statement received from S1 indicated, there are three (3) shifts, there is supposed to be a total of 5 caregivers and 2 Med Tech working per shift. Staff had brought up staffing concerns to management and was told that they are working on hiring more care staff. Interview statement received from four (4) staff (S1, S3, S4, & S5) indicated there were concerns about S2 neglecting residents in care by not changing their briefs. Residents are left in soiled briefs. A total of 4 staff out of 6 staff indicated, R5 has been left in soiled briefs on multiple occasions. Interview received from R6 indicated, staff did not want to change R5 and didn’t have time to do so. R6 stated it would take about an hour for staff to assist R6. R6 requires a 2-3 person assist but was cleared with 1 person assist. Interview statement received from S5 indicated, there are about 5 residents that are not being changed and all incidents were reported to management. Staff were not changing residents during the NOC shift. Due to this information CCL finds the allegation to be SUBSTANTIATED . – A finding that the complaint is substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. Deficiencies are cited on the attached LIC 9099-D. Appeal rights were provided. An exit interview was conducted, and a copy of the report left at the facility. CCL received allegations stating residents are being over medicated while in care. The Department reviewed R1, R2, R3, and R4’s LIC 602’s, medication lists, MAR, service plan, and level of care assessments. Facility is correctly using the MAR and found no discrepancies. The Department conducted interviews and received statement from a total of six (6) facility staff and two (2) residents. Interview statements received from a total of 6 staff indicated, they have not observed residents being over medicated while in care. Interview statement received from resident (R5) indicated, they have not missed a medication and has no issues with staff when assisting with medications. The Department could not find enough evidence to confirm nor deny this allegation happened. The Department finds this allegation to be UNSUBSTANTIATED - meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. No deficiencies being cited for today’s visit. Exit interview conducted and report left at the facility.