complaint·December 1, 2022

Regarding the allegation of Residents are left in soiled diapers, the Department found the following; based on interview and observation, it was determined that incontinent residents are on 2 hour checks. LPA observed an incontinent resident's room and did not smell any foul odors or did not see any soiled diapers laying around. Regarding the allegation of Residents are left in dirty clothes, the Department found the following; based on interview, it was determined that residents are not left in the same clothes for weeks. If residents refuse to change their clothes caregivers either come back and ask again or do a change of face. Residents on hospice get their clothes changed as often as the resident allows. Resident 1 (R1) is on hospice and has muscle atrophy so sometimes it has hard to change his/her clothes daily, but R1 does at the least, get changed when they receive their bed baths twice a week. Regarding the allegation of Staff did not ensure facility was free from rats, the Department found the following; based on interview, observation, and record review it was determined that the facility does have a problem with rats due to the facility being right by the river, but Administrator has been taking the necessary actions to try to prevent them from entering the facility. LPA observed several traps and reviewed Orkin documents. Regarding the allegation of Resident missed meals, the Department found the following; based on interview, it was determined that Resident 2 (R2) has not missed meals due to neglect. R2 stated to LPA that sometimes he/she doesn't want to eat but staff try to encourage. LPA observed R2 eating lunch today in the dining area. Regarding the allegation of Staff do not meet residents needs timely, the Department found the following; based interview, it was determined that Resident 3 (R3) had an allergic reaction to something he/she ate. Emergency Medical Services was called immediately. R3 does have an EpiPen as well. Although the allegations may have happened and/or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. Exit interview conducted with Administrator Mike Talani. A copy of this report was left with Administrator upon exit. Regarding the allegation of Staff did not provide medical attention to resident, the Department found the following; based on interview and record review, it was determined that Resident 4 (R4) suffered a change in mentation, slurred speech, and facial drooping. Emergency Medical Services was called immediately. LPA also reviewed Incident Report for this incident. Based on record review and interview, these allegations are determined to be without a reasonable basis and is determined to be UNFOUNDED. Exit interview conducted with Administrator Mike Talani. A copy of this report was left with Administrator upon exit.