complaint·January 11, 2023

Continued from LIC9099 Regarding the allegation “Facility is unkempt”. It was alleged resident’s apartment was not being cleaned regularly. LPA interviewed staff who stated resident’s apartment is cleaned once a week. LPA’s interview with resident confirms staff clean resident’s apartment once a week. LPA conducted inspection of the facility including resident’s apartment and observed facility including resident’s apartment to be clean and sanitary. Regarding the allegation “Staff did not meet residents’ laundry needs”. It was alleged staff does not do resident’s laundry timely and does not put resident’s laundry in resident’s dresser. LPA’s interview with resident reveals staff does residents laundry once a week, staff sometimes puts the laundry away and sometimes they don’t. LPA observed resident’s laundry bag with clothes on top of resident’s couch. LPA interviewed laundry staff who stated staff does resident laundry once a week and puts them in resident’s dresser upon resident’s request. Laundry staff stated resident #1 (R1) directed staff to leave the laundry on the couch by pointing to the couch. Regarding the allegation “Staff did not cut up food for resident as instructed”. LPA interviewed Resident Services Director who stated resident #1 (R1) is not on a special diet but, per resident’s Authorized Representative’s request, R1’s food are cut by the dinning staff. LPA’s interview with residents revealed dinning staff cuts R1 food. LPA reviewed (R1) file, the review revealed R1 is not on a special diet. Regarding the allegation “Staff leave resident in dirty diapers for extended periods”. LPA interviewed staff who stated staff changes resident #1 diapers three #3 to four #4 times in the morning and two #2 to three #3 times in the PM. LPA’s interview with residents reveals staff changes R1 diaper in the morning, afternoon and late at night. Regarding the allegation “Resident sustained a diaper rash while in care”. LPA’s interview with resident #1 (R1) reviewed R1 had diaper rash once after having a diarrhea . LPA interviewed staff who denied ever knowing or seeing diaper rash on resident #1 (R1). Regarding the allegation “Staff do not respond to residents’ call assistance button in a timely manner”. LPA’s interview with resident revealed it take the caregivers 15 minutes or longer for the caregivers to respond. LPA interviewed the Resident Services Director who denied it takes longer than 10 minutes to respond to residents, except when the pendant system was down on 07/13/2022 in which Resident Services Director instructed caregivers to remain on each floor in case a resident needed help and also to check on the residents every hour. Based on LPA’s interview with staff, and resident, inspection of the facility conducted, review of resident’s file and facility file there is not enough evidence to support the above allegations. 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 at this time. An exit interview was conducted, and a copy of this report was reviewed with and provided to Robert Johnston.