complaint·May 12, 2023

observed by facility staff. It was learned from facility staff that R1 was a very strong minded, strong willed, and very vocal individual. It was learned that R1 would strongly voice any concerns or dislike if faced with a situation where R1 was uncomfortable or had any reservations at any given time. It was learned from interviews that the relationship between R1 and R2 was consensual without coercion by either party involved. It was learned that R1 invited the attention and sought the affection of R2 and the same sentiments were returned in kind by R2. A tour of the facility's memory care unit was conducted. This LPA did not notice any issues related to incontinence of bowel and bladder specifically with smells and lingering odors. Based on interviews and information gathered during the course of this investigation, it was learned that there were certain residents who were uncooperative and resistant to staff intervention when attempting to change residents out of soiled depends. It was learned that several attempts, maybe up to (5) sometimes, had to be made in order to successfully change these certain residents out of their soiled depends. This would sometimes appear that residents were left in soiled depends but attempts were always under way to address these issues to make sure that residents were changed, cleaned, and put into fresh depends. As a result of this investigation, this Department found the allegations to be UNSUBSTANTIATED. A complaint allegation finding of Unsubstantiated meant that although the allegations may have happened or were valid, there was not a preponderance of the evidence to prove that the alleged violations occurred. There were no deficiencies observed or cited during today's complaint visit. Exit Interview