complaint·March 4, 2024

discovered that staff check on residents about every two hours and soiled briefs are changed during checks or as needed, per residents request. LPAs observed staff assist residents with toileting. Allegation 3: Staff did not prevent Resident from developing a pressure injury while in care. Through interviews, LPAs were informed that resident was receiving hospice services when they sustained an injury. Witness interviewed revealed that Resident pressure injury was due to their combative behavior that has been addressed. LPAs observed Resident with pressure sore protection. Allegation 4: Staff did not ensure an adequate quantity of food was served to resident in care. LPAs were present during lunch services and observed staff offer seconds. LPAs observed staff assist residents who require food intake assistance. LPAs inspected kitchen refrigerators and pantry and found the facility stores more than two days of perishable and seven days on nonperishable food items. Additionally, LPAS observed protein shakes for supplementary/meal alternate. Based on the information revealed during the investigation, these allegations are therefore unsubstantiated. A finding of UNSUBSTANTIATED means, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted with and a copy of this report was provided to Licensee.