Complaint·November 18, 2021

interviewed S1, S2, and S3, who all stated that there are about ten staff members during the day shuft and two staff members during the noc shift. All staff members interviewed stated that they believe all residents' needs are being met and the facility is adequately staffed. Of all the staff members interviewed, none reported that they felt overwhelmed with their duties at the facility. LPA Williams reviewed the facility's staff roster and schedule. plans. In regards to allegation #2, staff does not keep the facility free of insects, LPA Williams observed several areas of the facility for any visible insects; however, LPA Williams did not observe any insects. LPA Williams interviewed S1, S2, S3, S4, and S5, who all stated that the facility utilizes an extermination control company, who comes to service the facility as often as every month. LPA Williams interviewed R1, Resident #2 (R2), Resident #3 (R3), and Residetn #4 (R4), who all denied that the facility currently has insects. LPA Williams reviewed service records for the facility provided by Western Exterminator Company, who serviced the facility for insects as recently as of 11/11/2021. In regards to allegation #3, staff does not keep the facility clean, LPA Williams observed several staff members cleaning the facility areas upon arrival. LPA Williams inspected resident rooms and the facility's kitchen areas, which were kempt and kept free of debris. LPA Williams interviewed R1, R2, R3, and R4, who all stated that the facility is usually clean. R3 stated that staff members "are always cleaning." LPA Williams interviewed S1, S2, S3, S4, and S5, who all stated that the facility has a dedicated housekeeper and caregivers also assist in cleaning the facility as well. In regards to allegation #4, staff did not ensure that resident's diapering needs were met, LPA Williams interviewed R2, who stated that they do not recall being left in a soiled diaper for a long period of time. R2 stated that staff members check on R2 often and R2 usually verbalizes to staff members when they need to be changed. LPA Williams interviewed S1, who stated than an internal investigation was conducted into the allegation that R2 was left in a soiled diaper for a long period of time. S1 stated that when R2 was asked if their diaper was changed, R2 responded that their diaper was changed by Staff #6 (S6) that day. S1 stated that the facility's incontinence protocol is that staff check residents every 2 to 4 hours; however, S1 stated that most residents are able to verbalize when they need to be changed. S1 stated that to her knowledge, staff members are following incontinence care protocol. LPA Williams interviewed R1, who also requires incontinence care, and they stated that the staff "are good" when their diaper needs to be changed. R1 denied that they were ever left in a soiled diaper for a long period of time. In regards to allegation #5, insufficient staffing to meet resident needs, LPA Williams interviewed R1, R2, R3, and R4, who all stated that they believe the facility is adequately staffed to meet their needs. All residents interviewed denied feeling neglect and emphasized that staff members are attentive to them. LPA Williams