complaint·June 19, 2024

On the allegation: Staff do not assist residents with showering. LPA conducted interviews with 15 random staff and 12 random residents. Resident interviews revealed 5 out of 12 residents has issues with showers being rescheduled due to a lack of staffing available on their scheduled shower date and time. Staff interviews revealed 8 out of 15 staff said when the facility works short staffed with 2 caregivers or less showers run late, get rescheduled or when staff is available residents no longer want to take the shower. R1 has had 25 missed showers due to one of the shower days being Sunday on the PM shift and staff was not available to help assist R1 with showers. R1 pays for a care plan with two shower days per month with assistance. R1 had brought up the missed showers with the Nurse and the Administrator at that time and they had agreed to give coupons for guest dining to make up for the missed showers. R1 wanted dollar for dollar in coupons for the missed showers. R1 stated as of 08/24/2023 R1 had not been reimbursed for the missed showers as the facility had decided they were not going to give coupons for guest meals to reimburse R1 for the 25 missed showers on the dollar-for-dollar bases. R1 was still waiting for the facility to decide how to refund R1 for the missed showers. Staff interviews revealed that when the facility has 3 caregivers on the floor all the showers can be completed but when it goes down to 2 caregivers on the floor it gets harder to complete all the daily tasks and when 1 caregiver is on the floor alone several daily tasks can not get completed. Based on the evidence this allegation is Substantiated at this time. On the allegation: Staff do not answer residents' pendants in a timely manner. LPA interviewed with 8 out of 15 staff which revealed that if the facility is fully staffed, they can answer the residents’ pendants in 10 minutes or less. Staff had recently reported staff meetings where the pendants calls were reviewed with expectation on staff answering calls in 5-10 minutes. Staff stated if they have 3 caregivers on the floor they are able to meet all residents needs timely but when the facility has call offs and they become short staffed with 2 caregivers, they can work extra hard and still able to get most of the assigned duties completed, it is when the facility is short staffed with 1 care giver on the floor staff stated it is impossible to get all assigned tasks completed in a timely manner. LPA conducted interviews with 5 out of 12 residents which revealed when pushing the pendant, it took longer than 10 plus minutes to get staff assistance, at times staff took 30 plus minutes to assist, or staff did not come at all. Continued 9099-C LPA reviewed another 11 randomly chosen residents from the facilities resident roster to review call pendants logs from 12/01/2022-12/13/2022. The logs revealed 8 out of the 11 residents had pendants calls with waiting times of over 11-30 minutes long. Residents Pendant Logs revealed: One resident had 12 calls during this time period of 12/01/2022-12/12/2022 that were in excess of 10 plus minutes 11 min, 12 min, 2-13min, 14min, 16 min, 17 min, 21 min, 27 min, 3-30 minutes. Another resident had 11 calls during the same time period ranging from 11 minutes to 30 minutes. Another resident had 5 calls during this same time period ranging from 11 minutes to 30 minutes. Another resident had 13 calls during this same time period ranging from 15 minutes to 30 minutes. A shared apartment had 2 calls over 19 and 20 minutes during the same time period. Another resident shows 3 calls ranging in 11-30 minutes. Another resident reviewed had 29 calls ranging from 11 minutes to 30 minutes. The remaining 3 residents did not have any calls over 10 minutes. Based on the evidence this allegation is Substantiated at this time. Exit interview conducted, deficiencies cited, copy of report and appeal rights printed for Staff and emailed copy to Administrator. On the allegation: Staff do not meet residents' incontinence needs. LPA interviewed staff and residents which revealed residents with incontinence care plans are conducted with rounds every 2 hours for staff to assist residents. Residents have call pendants and pull cords to use if assistance is needed at any other time. Call pendants are answered in order and according to needs of the residents. Some resident interviews stated some of the calls are not answered timely. Staff interviews revealed even when working short staffed on shift the incontinence needs of the residents are always taken care of on rounds, a few residents can be wet when checking on rounds, but all residents are checked and changed, residents are neglected, no residents have rashes or sores to indicate incontinence needs are not being met. Based on the lack of evidence this allegation is deemed Unsubstantiated at this time. On the allegation: Staff do not properly supervise residents. The facility is an assisted living with a memory care unit on the premises serving senior residents that have added care plans based on the need of each resident. Assisted Living residents and Memory care residents have round -the -clock caregivers and medication technicians (Med-Tech) available by pendant or pull cords for assistance. The assisted living residents have the capability to call the front desk for non-urgent matters as well as call 911 for any urgent medical matters. The residents that have added supervision due to incontinence or memory care issues have 2-hour rounds conducted by the care giving staff to help. Some residents have added care plans for assistance with daily living for bathing, dressing, transfers, and 2-person assist. Residents interviewed did not have any concerns with supervision. Based on the lack of evidence this allegation is deemed Unsubstantiated at this time. Exit interview conducted and copy of report printed for staff and emailed to Administrator.