complaint·March 2, 2022

During the course of the investigation LPA interviewed 1 administrator, 2 staff, and 2 residents. LPA obtained the following documents to investigate the above allegation: Admissions agreements for 2 residents, physician’s reports for 2 residents, staff list with phone numbers. Allegation: Resident does not wear adult underwear and urinates on the floor - UNSUBSTANTIATED. Review of documents revealed that R1 does not suffer from bladder impairment and is able to care for their own toileting needs. During interview of administrator it was learned that R1 underwent a full hysterectomy in October 2021. Two weeks after surgery R1 developed an infection and suddenly became incontinent. R1 was taken to their physician and treated for the infection. R1 started to wear adult underwear but there were times R1 would take off their adult underwear, would not tell staff that they needed help, and would urinate on the floor of R1’s shared room when R1 stood up. Once the administrator was made aware of this, staff were instructed to ask R1 every hour if R1 needed to change their adult diaper and would provide R1 with assistance when required. R1 experienced the incontinence issues for a total of 2 weeks. After the infection cleared up the incontinence stopped and R1 resumed using the bathroom on their own. During resident interviews R1 stated that they do wear adult underwear. R2 stated that sometimes R1 does not want to wear adult underwear and has accidents in their room. During staff interviews two staff stated that R1 had an issue with incontinence for a short time after R1 had emergency surgery but R1 has not had incontinence issues for at least two months. During LPAs tour of the facility on today’s date, LPA found that the room in question had no urine odor, there is significant staining on the carpet and the licensee has contracted replacement of carpeting in the room with vinyl or laminate flooring. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred, and the findings are unsubstantiated. An exit interview was conducted. A copy of the report was emailed to facility administrator Julie Wilcox. No deficiencies were cited on today’s date.