complaint·May 25, 2023

notes it appears that R1 sometimes would go out to the dining room for breakfast and would eat; and would sometimes eat what was brought on a tray. However, it dos not appear that staff was in any way neglecting the nutrition of R1. Allegation is Unfounded. it is possible that R1 may have been found needing hygiene assistance, but the facility was still learning the resident’s needs. As soon as it was discovered that needs were higher than initially assessed, services were increased. It is not possible to say if original assessment was accurate or if the functioning of R1 decreased over her stay. Therefore, allegation is Unsubstantiated. Regarding the allegation that Staff does not provide resident with clean clothing : As above, initial assessment stated R1 was independent with dressing. As staff got to know her, it was found she did need some assistance with dressing/reminders. Even with assistance, LPA learned that R1 would sometimes refuse to change her clothes. Therefore, it is possible that R1 may have been found in dirty clothes, but the facility was still learning the resident’s needs. As soon as it was discovered that needs were higher services were increased. It is not possible to say if original assessment was accurate or if the functioning of R1 decreased over her stay. Also, she may have been found not wearing clean clothes on a day she refused to change. Staff cannot force a resident to change. Therefore, allegation is Unsubstantiated. Regarding the allegation that staff does not provide resident with hearing aid: LPA has reviewed documentation provided and interviewed staff. LPA learned that R1 liked to stay in bed late. LPA also learned that staff did not assist R1 with her hearing aids until she was out of bed for the day; they did not attempt to put in her hearing aids while in bed. LPA also learned that R1’s visitors sometimes arrived earlier in the morning, when R1 was still in bed. Therefore, she would not have had the hearing aids in yet. LPA is not able to say if R1 was ever out of bed for any length of time without hearing aids. However, there is no evidence to suggest that the staff were in any way “neglecting” the needs of R1. Allegation is Unsubstantiated. Regarding the allegation that staff does not communicate with resident's authorized representative of resident's change of health condition: LPA has reviewed documentation and interviewed staff. LPA found various notes stating that the Responsible Party had been contacted regarding issues with R1 on different dates; as well as staff saying they had contacted RP. Staff interviewed stated that the contact person was the daughter, and that who they would contact. At this time it is not possible to say if staff were really aware of an issue at some point and did not contact a responsible party. Allegation is Unsubstantiated. Appeal rights provided, exit interview conducted.