Complaint·January 27, 2023

A review of R1’s records on 12/22/22 starting at 4:13 pm revealed that R1’s pressure injury was being treated by a Hospice agency. Based on the information obtained during the investigation, the allegation that resident #1 (R1) sustained a pressure injury while in care is unsubstantiated at this time. Concerns were that staff failed to meet resident #1 (R1)’s incontinent care needs as staff were putting 3 diapers on R1 so they would not have to change R1. On 9/8/21 starting at 12:55 pm interviews were conducted with staff and R1. R1 when interviewed denied that staff were putting 3 diapers on them at one time. R1 stated that staff are really good about helping them. R1 stated that the staff are very attentive. Staff when interviewed denied ever putting 3 diapers on R1. Based on the information obtained during the investigation, the allegation that staff failed to meet resident #1 (R1)’s incontinent care needs is unsubstantiated at this time. Concerns were that staff forced resident #1 (R1) to sign documents without residents authorized representative authorization. On 9/8/21 starting at 12:55 pm interviews were conducted with staff and R1. R1 when interviewed denied that staff forced them to sign documents without their authorized representative authorization. Staff when interviewed denied forcing R1 to sign documents without their authorized representative authorization. Based on the information obtained during the investigation, the allegation that staff forced resident #1 (R1) to sign documents without residents authorized representative authorization is un substantiated at this time. Exit interview conducted. Today's report and appeals rights were reviewed and a copy was provided.