complaint·January 10, 2024

The investigation revealed that the facility had thirteen residents in care, nine of whom were incontinent and required full care with their toileting needs. The facility has three care staff on duty during waking hours and two during the night. Interviews revealed that care staff check on each resident every two hours including overnight, and provide care as needed. The facility training material regarding incontinence care is thorough and includes cleanliness of laundry and furniture as well as getting rid of lingering odors. Per mayoclinic.org “skin that is constantly in contact with urine may get irritated or sore and can break down. This happens with severe incontinence if you don't take precautions, such as using moisture barriers or incontinence pads.” The investigation revealed that R1 did not have any skin breakdown. An outside source was in the facility four days after the above concerns were alleged and no concerns were identified by the outside source during that visit. Interviews and documentation did not provide enough evidence to prove a violation occurred therefore these allegations are found to be unsubstantiated. An exit interview was conducted and a copy of this report, and appeal rights were given to Anna Wilson.