complaint·December 16, 2024

Two (2) care staff were interviewed and reported they check on the residents three (3) times during night hours and are able to hear resident bell calls from the baby monitor. Both staff interviewed reported they have not received complaints from residents reporting they sounded the bell during night hours and did not receive assistance. Two (2) additional residents were interviewed of which one (1) reported they are independent and do not require assistance from facility staff. One (1) of two (2) residents interviewed reported they do not require assistance from staff during night hours and only sound the bell to call for help during the day, to which facility staff respond in a timely manner. Regarding the allegation " Staff left resident in soiled diapers for an extended time period" R1's LIC 602A indicates R1 does not have the capacity to care for their own toileting needs. Staff 1 was interviewed and reported R1 exhibited memory lapses as evidenced by their complaints of staff not providing incontinent care moments after S1 changed their brief. An additional staff was interviewed and reported they assist R1 with incontinent care as necessary. Two (2) residents were interviewed, of which one (1) reported they do not require assistance with incontinent care. One (1) of two (2) residents interviewed reported facility staff provide incontinent care to them in a timely manner. Regarding the allegation " Staff on duty is unable to transfer resident" R1's LIC 602A indicates R1 is non-ambulatory and does not have the capacity to independently transfer themselves to and from bed. Licensee reported all facility staff received hoyer lift training to assist R1 with transfers. LPA reviewed the facility’s Training Log signed by facility staff documenting on 9/6/2023 they received a one (1) hour hoyer lift operation training for R1. Two (2) staff were interviewed and confirmed they received hoyer lift training and added they assist R1 with transfers anytime they request it. Two (2) residents were interviewed, of which one (1) reported they are able to independently transfer themselves to and from bed. One (1) of two (2) residents interviewed reported staff assist them with transfers each time they request it. Information gathered by the two (2) additional residents interviewed did not corroborate or refute the allegations. LPA made several attempts to contact R1's responsible person for an interview but was unsuccessful. Although the allegations may have happened or are valid, there is no preponderance of evidence to prove the alleged violations did or did not occur; therefore, the allegation is unsubstantiated. An exit interview was conducted and a copy of this report was reviewed and provided to Licensee.