complaint·January 12, 2023

Lastly, Licensee added that family is aware of the increased ADL’s and behavior issues of R1, and family is planning on moving R1 to another facility. A file review of R1’s medical chart, starting at 11:38 a.m., revealed that R1’s diagnosis is spastic hemiplegia affecting left side dominant, dysphagia, hypertension and requires full assistance with bathing, dressing, feeding, toiling and money management. Although, R1 is difficult and requires total care, staff continue to assist R1 in their ADL’s. Later that same day, LPAs interviewed R1 starting at 12:20 p.m. Interview with R1 revealed that most of the time, R1 must yell out for assistance. R1 stated they tend to stay in their room most of the time since it is a big hassle for staff and R1 to get up. R1 also added that some days they are not happy with the care, other days, the care is great. R1 added that the staff do come in to help but they don’t do it the way R1 likes. LPAs noted R1 has a personal cell phone in their room. R1 stated the staff help with the phone and uses the cellphone to call family, friends and the Licensee. Interviews with staff on 05/26/2021 and 01/03/2023 revealed that resident are assisted with hygiene, grooming, bathing, and eating daily. Further staff interviews revealed that two (2) residents are independent, one (1) resident needs minimal assistance with ADLs, and 2 residents need moderate assistance with ADLs such as eating, showering, transferring and toileting needs. Lastly, staff interviews revealed that staff have not refused assisting residents or have not heard of staff refusing to work with residents. Interviews on 01/03/2023 with five (5) residents starting at 11:40 a.m. revealed that the staff are very helping and take care of their wants and needs. Further interviews with residents also revealed that staff provide residents with meals, assist with toileting needs, assist with grooming and shower needs and assist with calling family or writing letters to family. During visits on 05/26/2021 and 01/03/2023, LPA observed 5 residents well groomed and taken care of with clean clothing. All residents seemed happy and expressed that their needs are being met by staff. Based on evidence gathered throughout the investigation, the allegation is unsubstantiated at this time. Exit interview conducted. Licensee stated that an email copy of the report is preferred. LPA emailed copy to the Licensee.