complaint·October 15, 2024

Allegation " Staff left resident in soiled clothing and diapers for a period of time:" The complaint alleges that Resident #1 (R1) who resides in the facility's Memory Care unit, is not being provided clean clothing daily and that the resident is being left in soiled incontinence briefs. During both the initial and subsequent complaint visit, both LPAs observed residents to be wearing clean clothing, and with no obvious signs of soiled incontinence briefs. Residents interviewed indicated the staff are nice and they are assisted with toileting and changing clothes daily. Staff interviews revealed that residents are provided incontinence care at least every 2 hours or more frequently as needed. Memory Care staff do launder residents' clothing and bedding at a minimum weekly, or more often if needed. Staff interviewed stated that in Memory Care there are 2 care levels and residents are assessed to ensure their care needs are being met. Staff do carry ipods that track the care needs of the residents and as tasks are completed for a resident, staff indicate completion on the ipod. Staff interviewed denied the allegation, stating they have never seen residents left in soiled clothing and/or diapers. Based on interview and observation, although the allegation may be valid, at this time there is insufficient evidence to support the allegation or that a violation occurred, therefore, the allegation "staff left resident in soiled clothing and diapers for a period of time" is deemed UNSUBSTANTIATED at this time. Allegation "Staff not keeping resident room free from odor:" The complaint alleges that R1's room smells of urine and is not cleaned adequately to meet the needs of the resident. Both LPAs during the initial and subsequent complaint visit, observed resident rooms for incontinence odors, including R1's room. No odors were observed in Memory Care during either visit. Additionally, LPA reviewed copies of carpet cleaning invoices and work orders from the period of time the complaint was received. Record review revealed that R1's room and the hallway R1's room is located in did have the carpets cleaned regularly. Staff interviewed indicate if they notice an odor from a resident's room, they will immediately report to maintenance staff to ensure the room is cleaned as soon as possible. Staff also stated that following incontinence care, staff remove all soiled items from a resident's room to ensure odors are kept to a minimum. Based on observation and interview, although the allegation may be valid, at this time there is insufficient evidence to support the allegation or that a violation occurred, therefore the allegation "staff not keeping resident room free from odor" is deemed UNSUBSTANTIATED at this time. Report Continued on LIC 9099-C Allegation " Staff does not maintain residents hygiene:" The complaint alleges that R1's hygiene is not up kept, however no additional information was provided. During both the initial and subsequent complaints, LPAs observed residents to be clean, properly groomed and no concerns with hygiene were noted. Staff interviewed indicated that some residents do refuse hygiene care occasionally, but that this is documented and communicated with residents' physician and family. Most residents are compliant in meeting hygiene needs with staff assistance. R1 was observed in both the initial and subsequent complaint visits to be properly groomed and clean. Residents interviewed stated they are independent with their hygiene needs, but that the care staff are wonderful and make sure they are taken care of. Staff interviews revealed that there are daily tasks assigned to each caregiver for each resident they are responsible for. Staff stated there are enough staff present to meet resident needs and if a resident has an unmet need or refuse care with a particular caregiver, they ask each other for assistance and usually a change of care staff will encourage residents to allow care to be provided. Based on observation and interview, although the allegation may be valid, at this time there is insufficient evidence to support the allegation or that a violation occurred, therefore, the allegation "staff does not maintain residents hygiene" is deemed UNSUBSTANTIATED at this time. No citations issued. Exit interview conducted. A copy of today's report was provided.