complaint·October 30, 2023

(Report Continued from LIC 9099...) It was alleged that staff are not providing adequate food service. It was reported that Resident #1 (R1) and others have been under fed resulting in weight loss. During the visit on 08/01/2023, the LPA observed the kitchen, food supply, monthly menu posted by the kitchen, copies of daily menu by the front desk, and random residents having lunch. The facility had a variety and adequate supply of perishable and non-perishable foods including eggs, meats, breads, canned goods, fresh fruit, fresh vegetables, and milk. Interviews conducted with residents revealed the food is good and stated snacks are passed every day around the same time. The snacks vary by days as sometimes they will get crackers, cheese, or ice cream. Interviews conducted with family members revealed that they get copies of the monthly menus from the front desk when they visit to know what the resident will be having throughout the month. Additionally, family members stated observing residents asking and receiving snacks in between meals while visiting. Furthermore, residents and family members reported having no concerns with the facility. Based on LPA observation and interviews conducted with the staff, residents, and family members, there is insufficient evidence to support the allegation of “staff are not providing adequate food service”. Therefore, this allegation is deemed Unsubstantiated at this time. It was also alleged that residents are left in soiled diapers for extended amount of time. It was reported that residents are being left in soiled diapers and residents’ beds have soiled linens. Additionally, urine stains were seen in R1’s bedsheets and R1 had to be changed several times due to R1 being wet. Information obtained and reviewed revealed that about 80% of residents in memory care are incontinent and wear diapers. Interviews conducted with residents revealed that staff are often checking on the residents throughout the day. Staff reported checking on the residents at least every two (2) hours and changing them when needed. Additionally, staff stated they have not had any family members report the residents being dirty or wet while visiting. Interviews conducted with family members revealed they often visit the residents and have not observed them being in soiled diapers. Family members stated the staff is good at changing the residents and keeping them clean. Based on the information obtained and reviewed, the Department does not have sufficient evidence to support the allegation of “residents are left in soiled diapers for extended amount of time”. Therefore, this allegation is being deemed Unsubstantiated at this time. (Report Continued on LIC 9099C...) (Report Continued from LIC 9099C...) It was further alleged that residents’ needs are not being met. It was reported that R1 has not been shaved and bathed for days at a time including brushing their teeth and laundry has not been completed for weeks. Additionally, the facility was to have a podiatrist and hairdresser come to the facility to service residents. Information obtained and reviewed revealed that residents have scheduled showers; however, residents also have the right to refuse any type of service. The end of shift report indicates how the residents interact each day. Additionally, on the narrative charting staff reported when R1 was refusing any service such as bathing and/or shaving and staff reported R1 had refused showers several times while living at the facility. Additional interviews revealed that residents will at times refuse their showers and staff will attempt to try again later the same day if not the following day. Additionally, housekeeping is done once a week for all residents in both assisted living and memory care. Per R1’s Admissions Agreement dated 01/26/2023 it states on page 7 section B that ‘personal laundry is available for an additional charge’ and on page 24 under Appendix A R1’s Power of Attorney (POA) did not indicate that they wanted additional personal laundry services added to their basic services. In addition, record review revealed that the facility places a sign-in sheet for both assisted living and memory care residents to sign up to see the Podiatrist which is scheduled to come to the facility every six (6) weeks. These sign-in sheets are available by the front desk for family members to sign up the residents from both assisted living and memory care. Furthermore, interviews conducted with residents and family members revealed they feel the facility is meeting their needs and had no concerns. Based on the information obtained and reviewed, the Department does not have sufficient evidence to support the allegation of “residents needs are not being met”. Therefore, this allegation is being deemed Unsubstantiated at this time. Exit interview conducted. No citations issued at this time. A copy of the report was provided.