Complaint·September 20, 2023

Allegation: Staff did not ensure that a written resident personal property inventory was established upon admission and retained during the resident’s stay. The complaint is regarding the facility not keeping an inventory of resident (R1’s) belongings. Interview with the Administrator indicated that, anytime there is an admission to their facility, they offer to have the Client/Resident Personal Property and Valuables LIC621 form completed. The Administrator indicated that R1’s responsible party took all the admission documentation home to review when R1 was admitted to the facility. Interview with the Administrator also indicated that R1’s responsible party declined to complete the LIC621. R1’s LIC621 indicated that R1 has no property or valuables and arrived at the facility with “a few clothing items”. Allegation: Staff did not safeguard resident’s belongings while in care. The complaint is regarding R1 missing items upon discharge from the facility and facility staff not ensuring R1’s clothing was not worn by other residents. Interviews with the Administrator and staff (S1) indicated that R1’s responsible party would often arrive at the facility with a bag to exchange out clothing items in R1’s room. Interview with S1 indicated that there was an incident when hospice arrived to provide care for resident (R3) and, when they changed R3’s clothing, the hospice staff accidentally put one of R1’s shirts on R3. S1 indicated that R1 and R3 shared a dresser and closet. S1 indicated that they changed R3’s shirt as soon as it was noticed they were wearing R1’s clothing. S1 indicated that this was the only occasion that R3 was wearing R1’s clothing. Interview with relevant party indicated that R1 was missing several items upon discharge such as the footrests from R1’s wheelchair, a pillow, electric toothbrush, and purple garment. Interview with Administrator indicated that they attempted to provide the footrests to R1’s responsible party. Administrator indicated that they purchased a new pillow and electric toothbrush for R1 and dropped it off at R1’s new residence. Interview with relevant party indicated that the footrests were not the correct footrests for R1’s wheelchair, the pillow was not the same brand or value, and the electric toothbrush was not the same brand as the original toothbrush so refills could not be used. The items that the relevant party indicated were missing were not listed on R1’s Personal Property and Valuables LIC621. *********************************************Continued on LIC9099-C************************************************ Allegation: Staff emotionally abused resident while in care. The complaint is regarding concern that the Administrator and other facility staff were emotionally abusing R1. Interviews conducted with resident (R2) and S1 indicated that they have never witnessed any abuse of any kind at the facility. Interview with R2 indicated that they have never experienced emotional abuse from staff and never witnessed staff mistreating R1. During the interview with R1, their responsible party was present. R1 indicated that they were scared and upset when the Administrator informed R1 they were moving out of the facility. Interviews with hospice staff indicated that they were able to speak to R1 privately at the facility on several occasions so that R1 could be open about any concerns. Hospice staff indicated that R1 would always indicate that they were happy at the care home. Hospice staff had also conducted a welfare check at the facility and spoke with R1 privately. Hospice staff indicated that R1 seemed comfortable, smiled, and indicated that they were happy. Interview with hospice staff also indicated that there were no indications of R1 being neglected or abused, neither verbal nor any other. Interview with outside agency representative indicated that they have stayed at the facility often and have interviewed all the residents. The outside agency representative indicated, from what they have observed, there were no signs of emotional abuse with any of the residents in care. Based on interviews conducted and documentation reviewed, although the allegations may have happened 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. No deficiencies are being cited during this visit. Exit interview conducted. A copy of the report was provided.