complaint·January 21, 2026

Continued from LIC9099 During LPA’s unannounced complaint inspection, LPA noted facility to be very clean and without urine or fecal odors. Facility had very organized incontinence care items in each resident’s rooms including incontinence briefs with nylon Velcro-like attachments, Prevail-brand daily pant (incontinence brief) liners without velco-like attachments and “cloth-like outer fabric”. In addition, resident rooms and a separate supply area was noted to have incontinent wash spray and antibacterial barrier skin creams. Interview with resident R2 indicated no concern about their incontinence care at the facility. During the course of the investigation LPA obtain R1’s Physician’s Assessment and Care Plan that indicated the need for help with bowel and bladder incontinence care, including help with incontinence briefs and help with toileting and grooming. In addition, R1 was noted to be on a pureed/liquid/thickened diet and took PRN medicines for anxiety. Interviews with S1 and S2 reveal that on the morning of R1s admission to the hospital, R1 had an incontinence brief and an additional incontinence liner as a precaution for travel to day programming. On that morning R1 had vomited and began to become short of breath with a temperature of 101.5F and 911 was contacted. Staff noted that R1 was incontinent of bowel and bladder and while taking vitals, R1 vomited and began to slump in the arms of facility staff. Staff S1 and S2 expressed an immediate urge in a situation that felt dire, to help R1 onto an awaiting EMT gurney and get R1 to the hospital. S1 and S2 acknowledged that facility residents are always ensured to be clean and dry, especially for outings like day programming or medical visits, but on this day, it did not make sense for R1, given the urgent nature of their concerns for R1, R1’s history of anxiety and R1’s preference to be changed in standing positing. The allegation is Unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are Unsubstantiated. This report was reviewed with Licensee/Administrator Alma Corsiga, whose signature denotes receipt.