Complaint·October 29, 2024

LIC 9099-C Allegation: Staff do not assist residents with dental hygiene Interviews and file review was conducted for the following allegation. File review of R1’s service plan and R8’s service plan revealed R1 and R8 has maximum assist for dental care. Interview conducted with Administrator on 11/21/2023 revealed R1’s responsible party has not visit R1 often due to responsible parties living out of town and/or state. Administrator stated R1’s care requires dental assistance which facility complies. Interview conducted with R1 on 11/21/2023 revealed “care is really good”. R1 stated there is no issues with staff as all caregivers are nice and helps R1 as needed. Interview conducted with R8 revealed that R8 is not sure who their caregiver is. R8 indicated they are unsure if staff assist with dental care. Interview conducted with S1, it revealed that S1 is R8’s caretaker for the shift. S1 stated S1 assisted R8 with bowel incontinence care and additionally with morning dental care. File review of R1’s physician report revealed R1 has mild cognitive impairment but is disoriented to time. File review of R8’s physician report revealed R8 has vascular dementia and is often confused. The allegation is unsubstantiated. Allegation: Staff do not safeguard resident’s personal belongings. The Department conducted interviews and inspection of the following allegation. Interview conducted with Administrator on 11/21/2023 revealed facility does not handle residents' cash resources. Based on observation of Room 14, Room 23, Room 41, Room 44, Room 47, Room 52, Room 60, and Room 64, it revealed all rooms have a lock on the doorknob to ensure safeguarding. Based on observation, it revealed resident locks are to be “dummy locks” which can be unlocked with a coin. Interview conducted with R1 revealed R1 is not sure if any clothing is missing as R1 has not checked. Interview conducted with current Administrator revealed there has been some complaints of missing clothings but when investigated, clothings are still folded in the laundry room. Observation revealed laundry room has a code lock and only accessible to staff. At this time, allegation is unsubstantiated. With the information obtained, LPA found the allegations to be unsubstantiated. A finding that the complaint is UNSUBSTANTIATED means 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 and a copy of the report was provided. LIC 9099-C (1) Allegation: Staff do not ensure residents room is kept in safe clean, sanitary condition and in good repair at all times. The Department conducted file review and interviews. File review revealed that there is housekeeping once a week, and additional at an extra charge. Interview conducted with R1 revealed R1’s room does get clean weekly, but caregiver assist with daily trash and bed making in the morning. R1 stated staff is very nice and helpful. Interview conducted with R3 revealed that staff are good with assisting as needed. R3 stated there are times R3 informed staff to help clean the trash. Interview conducted with R6 revealed R6 is very particular with housekeeping. R6 stated there is no concerns regarding getting bedroom clean in a timely manner however, R6 would like caregiver to check in periodically for garbage check. Interview conducted with R7 revealed R7 does not have concerns regarding housekeeping since R7 can be minimal and clean. Interview conducted with Administrator on 11/21/2023 revealed that caregivers are to assist with day-to-day cleaning such as emptying the trash and making the bed whereas housekeeping assist with the deep cleaning such as vacuuming and bathroom cleaning. Therefore, allegation is unfounded. Allegation: Staff do not ensure residents have access to clean linens. Based on observation conducted for Room 14, Room 23, Room 41, Room 44, Room 47, Room 52, Room 60, and Room 64, it revealed facility has clean linen present. Observation conducted of facility spare linens, it revealed facility has ample supply of clean linen, including blankets, bed sheets, pillowcases, and bath towels. The linen observed to be in good repair. Based on interview conducted with current Administrator on 10/29/2024, it revealed during resident’s housekeeping day, linens are to be removed and transported to the laundry room for washing. Based on interview conducted with S1 revealed if residents had an incontinence accident on the linen, caregivers would replace the linen with a clean set. Based on interview conducted with R1 on 11/21/2023, it revealed that R1 is often in bed but if needed staff will change the linens for R1. Therefore, the allegation is unfounded. Please continue to LIC 9099-C(2) LIC 9099-C(2) Allegation: Staff do not ensure residents has sufficient storage space The Department conducted an inspection of the following allegation. Based on observation of Room 14, Room 23, Room 41, Room 44, Room 47, Room 52, Room 60, and Room 64, it revealed facility has met the required resident personal accommodation of portable or permanent closets and drawer space in the bedrooms for clothing and personal belongings. A minimum of eight (8) cubic feet (.743 cubic meters) of drawer space per resident shall be provided. Therefore, allegation is unfounded. Allegation: Staff do not ensure residents wheelchair is in good repair. The Department conducted extensive interviews. Based on interview conducted with R1 revealed R1’s wheelchair has been fine and no concerns. Based on interview conducted with Administrator on 11/21/2023 revealed facility does not provide residents in care with wheelchairs but if there is a surplus at the facility, facility will lend a spare to residents in care. Interview conducted on 10/29/2024 with current Administrator revealed that it is not often for work orders to be placed for wheelchairs. If needed and brought to attention by staff and/or residents in care, facility will contact wheelchair company for repairs. Administrator stated she assisted R9 with physician order and insurance order for a new wheelchair as R9’s wheelchair was having complications. Interview conducted with R9 revealed facility assisted R9 with new wheelchair order. Allegation is unfounded. Allegation: Staff do not ensure residents room is free of malodors The Department conducted an inspection of the following allegation. Based on observation of Room 14, Room 23, Room 41, Room 44, Room 47, Room 52, Room 60, and Room 64, it revealed the rooms observed did not have a malodor and/or remains free of odors from incontinence. Based on observation of the facility conducted on 11/21/2023 and 10/29/2024, it revealed no concerns of malodor. Therefore, allegation is unfounded. Based on information obtained, the allegations listed above are UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. Exit interview conducted and a copy of the report was left with Administrator.