complaint·August 27, 2024

R1 is not a one to one staffed resident. R1 is diagnosed with having Parkinsonism and impaired vision per medical documentation. Two of the falls happened while resident was being escorted by staff, staff helped guide resident down to the floor. Per record reviews, and interviews, R1 was on the schedule for two showers a week and as often as needed. R1's linens and clothing would be laundered on their scheduled day and as often as needed, per staff interviews. Interviews conducted with staff S1, S2, and S3, revealed that residents are all provided hydration, and there is a hydration cart at all times for residents in care. Staff all stated the resident was on two-hour checks for wellness and to check for incontinent care needs. Per interviews with S1, S2, and S3, R1's room was cleaned and bed linen changed every assigned weekday, and as often as needed due to incontinence and/or any other incident/accident. R1's room and/or any area of the unit, would have a work order for rug cleaning if needed due to incontinent accidents. Per staff interviews, if resident called out for any assistance and/or need, the staff would go to the resident and provide services as needed. Staff deny that the resident was ignored and/or neglected by them or any staff. The investigation, review of documentation/records, including medical documentation, interviews with staff, and other parties, provided differing information regarding the allegations. There was no information obtained during the investigation to support that the violations had occurred. Per the investigation regarding the allegations that " staff left resident soiled for an extended period of time, staff does not ensure resident is assisted with showering needs, staff does not ensure resident's room is clean and sanitized, staff did not respond to resident's call in a timely manner, staff does not provide resident with clean linen, staff does not ensure resident is provided water", there was no information obtained that supported that the violations had occurred. Based on the interviews, record/document reviews, and related information obtained during the investigation, the allegations are Unsubstantiated, meaning that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. No deficiencies cited. Exit interview was conducted with the Administrator Megan Leone.