Complaint·October 27, 2022

Interviews with internal sources corroborated incidents of unexpected bowel movement resulting in dirty bathroom floors to be common. These internal sources also revealed the facility has had a plan in place to address such incidents when the housekeeping unit was not on site, but these procedures were not always followed, resulting in dirty bathroom floors. Based on the evidence gathered, the preponderance of evidence standard was met to Substantiate the above allegation. This deficiency was cited in the attached LIC 9099D. A Plan of Correction was jointly discussed and formulated with Generations Program Director, Ana Cruz . An exit interview was conducted with Generations Program Director, Ana Cruz , to whom a copy of this report, LIC 9099D, and the Licensee Rights (LIC9058 9/16) were provided to via electronic mail. An electronic mail read receipt confirms the documents were received. These sources also revealed staff provided manicures, and additional showers to residents with incontinence, regardless of the level of care and number of weekly showers scheduled. Review of records obtained at the facility did not reveal any concerns with R1 missing, nor refusing showers while at the facility. Additional records corroborated facility management responded to these concerns, and on multiple occasions attempted to schedule a care conference to discuss the appropriate level of care with R1’s responsible party. Review of records, interviews with internal and external sources, corroborated the responsible party did not visit the facility, and did not schedule a care conference. It was alleged the facility staff were not assisting Resident # 1 (R1) with wearing hearing aids. Interviews with internal sources revealed R1 would often remove the hearing aids and misplace them. Review of records corroborated management had notified R1’s responsible party R1 often attempted to remove the hearing aids and often misplaced them. These records also revealed management notified staff to assist R1 with wearing the hearing aids. An interview with an outside source, who visited R1 on several occasions, confirmed staff had mentioned R1 would consistently remove the hearing aids, and they often went missing. It was alleged staff did not safeguard Resident # 1 (R1) personal property. An outside source reported R1’s shoes, clothing and hearing aids would often go missing. Interviews with internal sources revealed it was common for residents in the memory care unit, including R1, to wonder and misplace R1’s items. The memory care unit had a protocol in place that required all items to be labeled, prior to the residents moving in. If unlabeled items were found during by the washing and drying process, the laundry department would hold them until the owner was identified. Review of records corroborated R1 had displayed wondering behaviors. An interview with an outside source, who visited R1 on multiple occassions, confirmed facility staff had notified this outside source, R1 would often misplace R1’s hearing aids, or staff would place them in the staff office when R1 was witnessed removing the hearing aids. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation(s) did, or did not occur, therefore, the allegations are unsubstantiated. An exit interview was conducted with Generations Program Director, Ana Cruz , to whom a copy of this report and the Licensee Rights (LIC9058 9/16) were provided to via electronic mail. An electronic mail read receipt confirms the documents were received.