complaint·November 27, 2024

However, staff interviews revealed that staff provide regular assistance with toileting. Interviews also revealed that resident’s sheets are changed immediately if they become soiled, otherwise sheets are changed by housekeeping staff weekly. 5:5 staff interviewed stated that they have not assisted R1 with putting gel in their hair. Resident interviews revealed that staff are meeting their hygiene needs, including changing soiled clothing and sheets when needed or at a minimum, once a week when housekeeping cleans the resident’s rooms. Residents interviewed expressed no concern with the level of hygiene care provided by the facility staff. Based on staff and resident interviews, this allegation is unsubstantiated. It is also alleged that the facility is malodorous. It was reported that the facility had feces and urine on the carpets in the public areas and that resident's rooms smelled of feces and urine. LPA conducted a tour of the facility on four separate occasions and did not observe any fecal matter or urine in the public areas. LPA also conducted a tour of 8 different resident rooms and found the rooms to be clean and sanitary. At no time during the LPA’s visits, did they encounter malodors. Interviews with staff and residents corroborated the cleanliness of the common areas and resident rooms. Based on interviews with staff, residents and LPA observations, this allegation is unsubstantiated. It was alleged that staff do not assist residents to dining hall. Interviews with staff and residents revealed that when residents make a request to go to the dining hall, staff provide assistance. Resident interviews revealed that staff arrive timely and provide stand assist or will push them in their wheelchair. Additionally, on 07/02/2024, 10/23/2024, and 01/22/2024, during unannounced facility visits, LPA observed staff assisting residents to the dining hall. Based on staff and resident interviews, along with LPA’s own observations, this allegation is unsubstantiated. It was also alleged that untrained staff were providing care and supervision. A records review from a random sampling of 8 staff members revealed that all staff have received adequate training through Relias. In addition, staff also receive additional hands-on training for a minimum of 1 week shadowing an experienced caregiver before being released to work independently. Interviews with staff also revealed that each staff member receives an additional 20 hours of training annually. Interviews with staff and residents confirmed they were able to meet resident’s needs. Based on records review, staff interviews, this allegation is unsubstantiated. (Continued on LIC9099C) Lastly, it was alleged that staff are being rough with residents in care. It was reported that staff do not know how to properly remove a resident's shirt while providing assistance with dressing. Interviews with residents revealed that staff were gentle in the assistance being provided. Staff interviews revealed that training had been provided on how to change resident clothing. Outside source interviews confirmed the staff training. Based on records review, staff resident and outside source interviews, this allegation is unsubstantiated. This agency has investigated the complaint allegations, staff do not ensure that resident’s hygiene needs are being met, facility is malodorous, staff do not assist resident to dining hall, untrained staff providing care and supervision and staff handle residents in a rough manner. The Department has found that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations occurred. Therefore, the above allegations are found to be UNSUBSTANTIATED. An exit interview was conducted, and the report was along with licensee appeal rights (LIC 9058 03/22) reviewed with Resident Service Director Sonia Molina.