complaint·September 27, 2024

Continued from 9099-A Per review of Special Incident Report, resident was being assisted to their bed by staff when they suddenly fell resulting in a broken arm. CCL was unable to confirm through interviews or record review that resident sustained multiple injuries due to staff neglect as indicated in the complaint. Facility is not meeting resident's care needs – Complainant alleges multiple instances where resident’s care needs were not met including, but not limited to, facility staff failing to send resident to the doctor when a growth was found on their face which turned out to be skin cancer, resident not being showered and only receiving sponge baths, which contributed to them getting a Urinary Tract Infection (UTI) and that resident was not having their face washed or teeth brushed. Per interview, resident received bed baths while they had broken arm but staff denied bed baths at any other time. CCL was unable to confirm through interviews or record review that staff failed to respond to resident’s care needs as indicated in the complaint. Facility staff handle the resident in a rough manner – Complaint alleges that a staff was observed pulling a resident up by one arm, not allowing them to catch their balance, and then dragging them by their arm to the bathroom to wash them using wet toilet paper with no soap to wash the resident in the bathroom. Interviewed staff denied dragging resident and using wet toilet paper to wash resident. CCL was unable to confirm through interviews or record review that staff handled resident in a rough manor and used toilet paper to wash them as indicated in the complaint. Facility staff are not ensuring resident privacy – Complaint alleges that another resident goes into Resident, R1’s room. Despite R1 expressing that they don’t want them to come in, staff do not ensure that resident does not go into other residents’ rooms. Per interviews, staff attempt to redirect residents and will lock rooms at the request of a resident. CCL was unable to confirm through interviews or record review that staff are not ensuring resident privacy as indicated in the complaint. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegations are unsubstantiated.