complaint·May 7, 2025

Regarding the allegations, “Staff did not ensure that resident received assistance with their colostomy bag and Staff did not meet resident's hygiene needs” it is the concern of the reporting party (RP) that in March 2024, former Resident 1 (R1) tried to change their colostomy bag, got the contents on themselves, and the owner refused to clean R1. RP further reported that the owner insisted on R1 to be placed on Home Health care to take care of baths and illnesses, and once R1 was placed on Home Health, the owner would call a different Home Health care provider to come and look at R1. During the initial complaint visit on 07/02/2024, the LPA was advised the facility only had one staff working at the facility in addition to the Administrator. Interviews with both the Administrator and the staff revealed that R1 would take care of their own colostomy bag, R1 did not ask for help, and they did not observe R1 to struggle with the colostomy bag. The Administrator further revealed that R1 did not want them to help with the colostomy bag. The Administrator stated that R1 received assistance from their Home-Health agency for anything related to their colostomy bag, they came once a week, denied ever leaving R1 with the contents of their colostomy bag on them, and stated that they always ensure all the residents are kept clean. Furthermore, the Administrator stated that they only suggest residents to be placed on home health for medical support if needed such as having a colostomy bag, denied suggesting it due to baths, and stated that they would still provided baths even if residents are on home health. Lastly the Administrator stated they cannot call a different Home Health provider that is not the assigned one to the resident, and other Home Health agencies will not touch a resident that is not assigned to them. Staff revealed that they never witnessed the Administrator leaving R1 dirty, and that the administrator would clean them or asked staff to clean the resident. The LPA was not able to review any records for R1, as the Administrator was not able to provide them which will be addressed under a separate cover. Interview with a family member of R1, revealed that they did not have any concerns regarding the care that was being provided at the home. They further revealed that they spoke with R1 once a week over the phone and R1 did not voice any concerns and sounded happy. Per Title 22 Regulations the licensee shall be permitted to accept or retain a resident who has a colostomy or ileostomy if the resident is mentally and physically capable of providing all routing care for his/her ostomy and the physician has documented that the ostomy is completely healed or if assistance in the care of the ostomy is provided by an appropriately skilled professional. Although the allegation may have happened or is valid, based on interviews, the above allegations are deemed unsubstantiated at this time. Exit interview conducted. A copy of the report was issued.