complaint·August 18, 2021

soiled diapers for an extended period of time. S1, S2, S3, and, S4 stated that facility staff follow protocol, which is to check residents for incontinence every 2 hours, or more for those who need more incontinence care. S4 stated that facility staff cannot determine how long a resident has been left with a soiled diaper during shift changes. LPA could not find evidence to corroborate the allegation; therefore, the allegation is unsubstantiated. In regards to allegation #3, LPA interviewed S1 who stated that one resident's narcotic medication went missing; however, the facility was not managing those medications as the resident's physician noted on the Physician's Report that the resident was able to manage own medications at the time. LPA interviewed S2 and S4 who denied that residents medications are managed incorrectly. LPA interviewed R1, R2, and R3 who all stated that they are getting all of their medications on time. LPA could not find evidence to corroborate the allegation; therefore, the allegation is unsubstantiated. In regards to allegation #4, LPA inspected four resident bedrooms and observed them to be orderly and maintained. LPA interviewed R1, R2, and R3 who stated that housekeeping cleans their rooms once a week. LPA interviewed S1 and S4 who stated that housekeeping staff clean rooms weekly and upon request. LPA could not find evidence to corroborate the allegation; therefore, the allegation is unsubstantiated. In regards to allegation #5, LPA interviewed S1 who stated that the facility has a dedicated staff member who solely provides showering for residents. S1 also stated that staff members on each shift provide showers for the residents. LPA interviewed R3 who stated that the facility has been providing showers three times a week. LPA interviewed S2, S3, and S4 who stated that facility staff are providing each resident with a shower three times a week. LPA could not find evidence to corroborate the allegation; therefore, the allegation is unsubstantiated. Based on evidence obtained during today’s visit, LPA has determined that the above allegations are UNSUBSTANTIATED; meaning that although the allegations 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 where this report was discussed and a copy was provided to the Administrator.