complaint·July 24, 2024

Allegation: Staff are not meeting residents showering needs LPA conducted interviews with four (4) staff and eight (8) residents. Resident interviews revealed that some resident’s showers do get missed while other residents stated that their showers do not get missed. One resident stated that sometimes their shower will get missed but if that happens, they will just take a shower by themself. One resident was offered to be switched to evenings to prevent missed morning showers. Interviews with caregivers revealed that three (3) caregivers work per shift. They are referred to as clusters. Cluster 1 and Cluster 2 are responsible for the overall needs of residents throughout that shift. Cluster 3 is responsible for showers and laundry for a handful of residents. Interviews further revealed that when someone calls out for their shift, especially the person who is cluster 3, it can be hard to make sure residents get the showers since caregivers now have to figure out who is going to assist with showers. Showers are set to be 30 minutes for each resident. Staff stated that occasionally showers take longer depending on the extent and then having to assist the resident in getting dressed. When this happens, it can set the caregiver back on showers. If AM shift misses a shower, they ask PM if they can fit it in. If not, they will ask residents if they can shower the next day. Based upon the information obtained during investigation, the above allegation is 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. Allegation: Staff are not meeting residents needs Staff interviews indicated that they are not neglecting residents, but it can take them a while to respond to a page.  Additionally, staff stated that sometimes the pagers do not work, or they are off on their timing. Staff stated that many residents will not push their call button because they know it can take a while. Resident interviews revealed that they feel like all their other needs are being met. One resident stated they understand that there are more residents than staff and that they just try to be mindful that staff may be with another resident. Based upon the information obtained during investigation, the above allegation is 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 a copy of the report and appeal rights were left at the facility.