complaint·September 26, 2023

9099C-1... Allegation: Staff do not maintain facility clean and sanitary at all times. Complaint alleges that resident's family member visited the resident and observed the resident's mattress to be soiled with urine and to contain urine stains. The complaint does not indicate which resident in the shared room this allegation pertains to. LPA and Administrator inspected the shared room referenced in the complaint, including the bathroom. LPA observed each resident's bed to be made and the bedding, and protective coverings (Chux) to be clean and dry. Additionally, LPA did not observe any incontinent odors in the room or near the beds. One staff who works on the "am" shift, stated that when (R1's) family visits, (R1's) bed is made and no complaints have been made regarding the allegation. This staff stated that (R1) will tell staff when she needs to use the bathroom. The same staff stated that both residents are "heavy whetters" and (R2) had (2) outside care providers visit today and there were no complaints made to staff about (R2's) bedding needing to be changed. A second staff, who works on the "pm" shift stated he has never seen either resident's bed soiled and needing to be laundered and confirmed caregivers will assist housekeeping with changing resident's linens. Due to their Dementia diagnosis, both residents were unable to communicate to LPA if staff changes their linens timely. The Ombudsman also recently investigated this allegation and did not find any evidence. Based on information obtained, LPA finds the allegation to be UNFOUNDED- meaning that the allegation was false, could not have happened and/or is without reasonable basis. Allegation: Staff do not assist resident with grooming. Complaint alleges that resident's teeth were observed to be layered with food, and the resident's blouse had food on it. The complaint does not indicate which resident in the shared room this allegation pertains to. LPA observed resident (R1) to be wearing clean clothes. Administrator and LPA were unable to get (R1) to smile fully to show if her teeth were clean, but no food pieces were seen when (R1) was talking. (R1) was upset at the time of the inspection. cont on 9099C-2... 9099C-2.. LPA attempted to speak to resident (R2) who was sitting in a wheelchair in the dining room. (R2) was not able to engage in conversation with LPA and did not show her teeth when LPA was observing her. LPA did observe what appeared to be a small area on the lower area of her T-shirt to be stained with food possibly; however her jacket was observed to be clean and free from any food spots. Two staff stated that (R1) is a relatively neat eater and staff will usually use a bib to help keep her clothes clean. One staff stated that (R1) will let staff know if something is bothering her and will generally allow staff to brush her teeth. A second staff stated (R1) does not usually get food stuck in her teeth. Both staff interviewed stated that (R2) eats pureed food only and uses a bib since she is a messy eater. One staff indicated that (R2) is able to eat independently. Both staff confirmed that (R2) does not get food stuck in her teeth but occasionally gets food spilled on her clothes, especially her shoes. One staff indicated that it can be challenging to brush (R2's) teeth, so staff will use a tooth sponge. Due to their Dementia diagnosis, both residents were unable to communicate to LPA if staff changes their clothes, when soiled, and brushes their teeth when needed. The Ombudsman also recently investigated this allegation and did not find any evidence. Based on information obtained, LPA finds the allegation to be UNFOUNDED- meaning that the allegation was false, could not have happened and/or is without reasonable basis. Exit interview. Copy of report provided to the Administrator.