complaint·October 3, 2023

Continued from LIC9099 Review of resident’s care plan states that the bag should be emptied twice daily or as needed. Interviewed staff denied not emptying catheter bag timely with some stating that resident had increased urinary output. Pictures provided show a full catheter bag but it is not clear if it was because of increased urinary output or if facility staff were not emptying bag timely. Per complaint, there was an incident where resident did not wake up until the afternoon resulting in resident not having breakfast and lunch and not having their catheter bag emptied. Additionally, facility staff are not clearing away disposable containers after meals. Interviews provided conflicting information about whose responsibility it is to clear containers. Complaint also alleges that resident missed meals due to them not being delivered. LPA was unable to confirm. Per staff interview, residents are woken up for meals. Facility did not respond to call buttons – Complaint alleges that resident used the call button on several occasions and there was no response. LPA attempted to obtain call button records but was unsuccessful. Per interviews, resident frequently contacted their responsible party instead of using the call button system. Facility staff did not ensure that resident received warm food - Complaint alleges that staff did not take into account resident’s vision restraints and notify resident that meals were being left for them, resulting in resident having cold food. Per staff interview, dining staff were not initially notifying resident, R1 when they dropped off a meal but once the issue was brought to their attention, dining staff started to notify R1. Per interview, there is a microwave in the resident’s room and caregivers would heat up meal for resident, as needed. Facility did not properly respond to resident's injuries – Complaint alleges that resident was observed with a wound on their arm by a family member and when the resident was brought to the reception area the receptionist stated they did not have a First Aid Kit. Per chart notes a Medication Technician came and provided first aid to the resident. 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. No deficiencies cited.