complaint·November 18, 2022

Records reviewed revealed that R1 has a diagnosis of dementia. It was also noted in facility records that R1 has anxious behaviors and is a perfectionist in reference to cleaning. During the investigation, it was discovered that R1 would use a whole roll of toilet paper at one time to wipe floors, the sink, and other surfaces within the facility, even if the surfaces were already clean. It was further discovered that, although facility staff attempted to redirect R1 to use facility provided rags for wiping surfaces, R1 would continually use all the toilet paper on any accessible rolls of toilet paper to wipe surfaces. Despite having a diagnosis of dementia, records reflect that R1 is able to care for his/her own self-care and toileting needs. Because R1 is able to take care of his/her own toileting needs, R1 was able to go to the restroom alone. LPA learned that on an occasion, R1 used all of the toilet paper in the restroom to wipe surfaces and, subsequently, used the toilet, at which time there was no toilet paper left in the restroom. After using the toilet, in place of toilet paper, R1 used a towel that was in the restroom. Although it was discovered that R1 used a towel instead of toilet paper, the investigation did not lead to a determination that this or any other incident occurred because toilet paper was not regularly being provided by the licensee or facility staff. No other evidence was obtained during the investigation to conclude that the facility did not provide toilet paper to meet resident care needs. Based upon a lack of evidence to corroborate the allegation, the allegation is unsubstantiated. This finding means that although the allegation may have happened or may be valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted with Launa Moore, Senior Executive Director, and copies of this report and Licensee/Appeal Rights (LIC 9058) were provided to her at the conclusion of the visit.