complaint·April 7, 2025

Based on records reviewed, interviews with staff, reporting party, and residents in care, on the information provided, it was unclear if licensee does not ensure facility staff is adequately staffed to meet residents needs resulting in unwitnessed falls, therefore the allegation was deemed UNSUBSTANTIATED. Facility staff are not meeting residents toileting needs- LPA Lund reviewed facility records, interviewed staff, reporting party, and residents in care. Based on records reviewed, interviews with staff, reporting party, and residents in care. Resident (R1) had monthly bowl movement records from 7/11/2024 through 10/15/2024. The reports stated when R1 had a bowl movement facility would change R1 depends. Staff interviewed stated that R1 would get their attention when needed to use the restroom. LPA Lund reviewed facility staffing schedule’s from 7/1/2024 through 10/31/2024 revealed two staff on duty consistently residents in care that include staff for the night. LPA Lund reviewed Samaritan Home Health report. R1 was a patient in-home starting on 8/16/2024 through 10/10/2024. R1 had a bowl movement and stated to Samaritan Home staff facility caregivers would change undergarment (Depends) per R1 routine with facility caregivers. Based on records reviewed, interviews with staff, reporting party, and residents in care, on the information provided, it was unclear if facility staff are not meeting residents toileting needs, therefore the allegation was deemed UNSUBSTANTIATED Facility staff left resident in urine soaked clothing for an extended period of time- LPA Lund reviewed facility records, interviewed staff, reporting party, and residents in care. Based on records reviewed, interviews with staff, reporting party, and residents in care. Staff interviewed stated that R1 would get their attention when needed to use the restroom. LPA Lund reviewed facility staffing schedule’s from 7/1/2024 through 10/31/2024 revealed two staff on duty consistently residents in care that include staff for the night. LPA Lund reviewed Samaritan Home Health report. R1 was a patient in-home starting on 8/16/2024 through 10/10/2024. R1 had a bowl movement and stated to Samaritan Home staff facility caregivers would change undergarment (Depends) per R1 routine with facility caregivers. Based on records reviewed, interviews with staff, reporting party, and residents in care, on the information provided, it was unclear if facility staff left resident in urine soaked clothing for an extended period of time, therefore the allegation was deemed UNSUBSTANTIATED. Facility staff did not seek timely medical attention for resident- LPA Lund reviewed facility records, interviewed staff, reporting party, and residents in care. Based on records reviewed, interviews with staff, reporting party, and residents in care. Resident (R1) moved into the facility on 7/11/2024 and moved out on 10/15/2024. LPA Lund reviewed case notes for R1 which stated R1 had two falls during R1 stay at the facility. Care notes reviewed indicate that R1 fell 10/7/24 and it was addressed by staff. Staff (S1) stated R1 refused emergency help, and first aid was applied. 10/15/2024 R1 fell and refused emergency help. That same morning R1 son came, and paramedics were called. LPA Lund reviewed Samaritan Home Health report which states R1 had many medical conditions including chronic kidney disease, congestive heart failure and type 2 diabetes. Based on records reviewed, interviews with staff, reporting party, and residents in care, on the information provided, it was unclear if facility staff did not seek timely medical attention for resident, therefore the allegation was deemed UNSUBSTANTIATED. As a result of this investigation, this Department finds the allegation to be UNSUBSTANTIATED. A complaint allegation finding of Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Exit interview conducted and report left.