complaint·June 25, 2021

but R1 would not allow staff to wash R1's body. A review of documentation provided revealed that assistance with washing R1’s body was needed however there was no documentation of bathing refusals submitted to LPA. Staff interviewed stated that R1 was a very clean person and never smelled of perspiration or appeared dirty. The second allegation alleges resident did not have required emergency call button. Interviews with staff revealed that during the 2-hour checks the staff would ensure that the call button was within reach of R1. R1 always requested that the call button be placed to the right of R1's chair and on the nightstand to the right of R1's bed at night. S1, and S2 stated R1 misplaced the call button at times but staff would find it and place the call button back next to the chair or bed during the 2-hour checks. Staff interviews revealed R1 never used the call button and was very vocal about R1's needs and wants during the 2-hour checks. LPA was unable to corroborate that staff failed to provide the emergency call button. The third allegation alleges staff failed to follow resident's doctor's orders. A review of facility records indicates that R1 was to wear compression socks in the AM and take off in the PM. Interviews with staff indicated that R1 would put the compression socks on but would later take them off as the socks were uncomfortable to wear. There were times when R1 refused to put the socks on but there is no documentation of refusals by facility staff. LPA was unable to corroborate that staff failed to follow R1's doctor's orders. Although the above-mentioned allegations may have happened, or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore, the allegations are deemed UNSUBSTANTIATED at this time. An exit interview was conducted, and a copy of this report was reviewed with and provided to Assistant Executive Director Victoria Mata, whose signature on this form confirm receipt of the above-mentioned documents.