complaint·November 6, 2025

Staff do not ensure that residents are provided adequately supervised, resulting in resident sustaining an injury Interviews conducted indicated that resident R1 was supervised during shower and no injuries occurred. R1 sustained an skin abrasion after the shower where R1 slid down the wall to the floor to the seated position, no fall occurred. Records reviewed indicated R1 is not a fall risk and did not require hands on showering, only stand by assistance. Therefore, the allegation staff do not ensure that residents are provided adequately supervised, results in resident sustaining an injury unfounded. Staff do not ensure that residents' incontinence needs are met Interviews conducted indicated that staff are taking care of incontinence needs of all residents. Interviews with residents indicated that there is no concerns with incontinence care and staff are very helpful. Records reviewed indicated residents have incontinence needs indicated on their service plans which is followed by staff. Service plans are updated as needed or at least every six months. Interviews with residents R2, R3, and R4 indicated that there are no complaints with staff and the incontinence care that is received. Therefore, the allegation staff do not ensure that residents’ incontinence needs are met is unfounded. Staff do not assist residents with showering Interviews conducted indicated that staff are assisting with showering needs. Staff will assist a resident with a shower on their day and if a shower is refused, there are protocols in place to help attempt a shower again, like changing face of the staff member or changing the time of day. Sometimes, shower days are changed based on staff schedules which is communicated with residents. Interviews with residents R2, R3, and R4 indicated that there are no complaints with showering. Records reviewed indicated showers are provided and indicated on shower sheets. Showers are documented and skin checks are done to assess resident. Therefore, the allegation staff do not assist residents with showering is unfounded. Based on records reviewed and interviews, LPA finds the above allegations to be UNFOUNDED- meaning that the allegations were false, could not have happened and/or is without reasonable basis. Exit interview conducted with the Administrator. Copy of report was given to facility.