Complaint·June 16, 2021

Allegation: Staff did not assist a resident with hygiene need Complaint alleged R1 was not receiving assistance with their colostomy bag, grooming or bathing. On 05/28/2021 LPA reviewed resident (R1)'s records. R1's medical assessment (dated 3/17/2020) indicates R1 is able to self manage grooming, bathing and colostomy bag. R1's care assessment conducted by the facility indicates R1 requires reminders for grooming, assistance for bathing once a week, and is able to self manage colostomy bag. On 06/09/2021 LPA reviewed R1's ADL charts for the months of August, September and October 2020, which indicated R1 received grooming reminders 4-7 times a week and two (2) baths a week. On 05/28/2021 LPA interviewed R1's spouse who stated R1 was managing their own colostomy bag and did not have issues regarding his hygiene. On 06/08/2021 LPA interviewed three (3) of three (3) facility staff. Majority of staff stated R1 was responsible for their colostomy bag and was able to empty it themself but needed daily reminders. Due to R1's passing on 10/17/2020, LPA was unable to interview R1. No further evidence was provided. Allegation: Staff would not allow a resident to have a visitor. Complaint alleged staff did not allow R1 to have a visitor. On 05/28/2021 LPA reviewed facility's visitor guidelines. Visitor guidelines indicate residents are allowed visitors under limited guidelines. On 05/28/2021 LPA observed visitor guidelines to be in compliance with PIN 20-38 ASC which covers state guidelines for facility on-site visits. On 06/08/2021 LPA reviewed facility visitor sign in sheets for the months of August, September and October 2020. LPA observed that during the months of August, September and October, R1 did not have a visitor sign in. LPA found that during the months observed other residents in care were visited by outside guests. On 06/08/2021 LPA interviewed three (3) of three (3) staff who stated the facility allows on-site visits within limited guidelines. LPA interviewed R1's family member who stated family had visited R1 in October 2020. Due to R1's passing on 10/17/2020, LPA was unable to interview R1. No further evidence was provided. Due to the information above, LPA finds the allegations 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. Exit interview conducted with Administrator, copy of report and appeal rights provided.