Complaint·November 2, 2022

Regarding allegation, " Facility staff do not speak a language that resident(s) understand. ", after interviews conducted, LPA determined that residents do not have difficulty in understanding staff/caregivers. Thus this allegation is UNSUBSTANTIATED. Regarding allegation, " Facility does not have sufficient staff to meet the needs of the residents in care." It was alleged that caregivers were not able to be found when needed. Through interviews obtained from staff and residents, LPA determined that staffing concerns are not an issue. Residents do not have concerns. Thus this allegation is UNSUBSTANTIATED. Regarding allegation, " Facility is not ensuring that resident receives meals on a regular basis." It was alleged that meals are not provided to residents if they are in their rooms. Through interviews conducted with staff and residents, LPA determined that staff ask residents if they want to eat in their room, or visit with other residents while they eat in the dining room. Even if residents have visitors in their rooms, residents are afforded meals if they wish inside of their rooms. Thus this allegation is UNSUBSTANTIATED. Regarding allegation, " Facility does not provide a safe environment for residents in care." It was alleged that caregivers check on residents once every 12 hours. Through interviews conducted with staff and residents, LPA determined that residents are checked on at a maximum of every 1-2 hours. Most room checks are done within 15-20 minutes. Thus this allegation is UNSUBSTANTIATED. A finding of UNSUBSTANTIATED means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted and copy of this report was discussed with and provided. Regarding allegation, " Facility is not meeting residents laundering needs. ", it was alleged that a resident had urine soaked laundry that had been left and not done. After interviews conducted, LPA determined that laundry is not kept up with and is often missed for several residents. Therefore, the allegation is SUBSTANTIATED. Regarding allegation, " Residents are left in wet diapers for extended periods of time." Through interviews conducted, LPA determined that 5/6 residents (R1, R2, R3, R4, R5) are incontinent and have not received proper help/assistance from staff/caregivers with changing of their diapers on many occasions. Therefore, the allegation is SUBSTANTIATED. Regarding allegation, "Facility is not meeting residents housekeeping needs." It was alleged that there was a urine soaked floor that had not been mopped in a resident room. Through interviews conducted, LPA determined that urine is often left on the floor when staffing is short on those days. Therefore, the allegation is SUBSTANTIATED. A finding that the complaint is SUBSTANTIATED means that the allegation is valid because the preponderance of the evidence standard has been met. The facility was issued 3 citations via Title 22. An exit interview was conducted and copy of this report was discussed with along with copies of the LIC811, LIC811C, LIC9099D and appeal rights were provided.