complaint·October 1, 2025

On 9/12/2025 the facility had a Staff meeting to go over directions on what staff can address with the catheter for residents in care. Staff interviewed stated that they know that they can only empty the catheter and that is it and would have to call the nurse if the catheter was to fall off and when the residents cannot put it back on. Based on reviewed facility records, interviews with staff, and residents in care, on the information provided, it was unclear if staff caused injury to resident in care, therefore the allegation was deemed UNSUBSTANTIATED. Staff are not properly trained- LPA Lund reviewed facility records, interviewed staff, and residents in care. Based on interviews with staff, residents in care, and facility records reviewed. LPA Lund reviewed staff training on Hoyer lift for 12/5/2024 and 9/30/2025. The facility currently has three residents who use the Hoyer lift who stated that staff to their knowledge know how to use the Hoyer lift properly and have not been harmed using it. LPA Lund interviewed residents in care that have catheter and staff only empty the catheter and call the proper agency if necessary. Staff interviewed stated that they have been trained on how to use the Hoyer lift and only empty the catheter and call the proper agency if needed. Based on interviews with staff, residents in care, and facility records reviewed, on the information provided, it was unclear if staff are not properly trained, therefore the allegation was deemed UNSUBSTANTIATED. Staff did not ensure resident hygiene care needs were met- LPA Lund reviewed staff records, interviews staff, and residents in care. Based on facility records reviewed, interviews with staff, and residents in care. Facility records indicate that all residents have a shower schedule. Residents interviewed stated that they get showers on a schedule and get their teeth brushed daily. Staff that residents in care get showers on a schedule or as needed and make sure their teeth are brushed daily. LPA Lund reviewed Resident’s Activities of Daily Living (ADLS) from May 1, 2025 through June 30, 2025 and their ADLS were getting completed. Based on facility records reviewed and interviews with staff, and residents in care, on the information provided, it was unclear if staff did not ensure resident hygiene care needs were met, 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.