Complaint·January 26, 2024

This report was amended for privacy reasons. It is alleged that ‘Staff do not ensure resident's personal hygiene needs are met.’ The concern of the RP is that resident #1 (R1) smelled of feces, had feces on their clothes and was not wearing any underwear. It was further reported that R1 was disheveled and unkempt. During this investigation LPA Cortez conducted interviews with facility staff, R1, Individual #1 (I1) who cared for R1 in 2023, and a family member of the resident. In addition, R1’s records were reviewed. Staff Interviews revealed that R1 refuses to shower or change and gets aggressive with the staff when they attempt to assist. Staff also indicated that when residents are observed with soiled clothing they are changed. During LPA's interview with R1, it was learned that R1 does not like anyone in their room and states that they are independent and do not want any help. Interview with I1, revealed that they have attempted to assist with showering R1, however R1 refused, was abusive, resistant, and had a tendency to hit. Interview with R1's family revealed that they have no concerns with the care the facility is providing at this time, based on R1’s behavior. R1’s family member acknowledges R1 can be aggressive and in addition tends to pack away or lose their clothes. R1’s family member also revealed they visit R1 once or twice a week, and even though they have observed stains on R1’s clothing they have been old stains and have never seen R1 with feces or fresh stains. The LPA observed documentation of R1’s shower refusals while they were receiving Hospice care in previous years. During today’s visit, at 10:50 a.m. the LPA observed a MedTech attempt to assist R1 with changing, however R1 threw the clothes and started to yell and yelled at the MT to get out of their room. Based on the information gathered through the interviews, and observation there is insufficient evidence to support the above allegation. Therefore, although the allegation may have happened, or may be valid, this allegation is deemed Unsubstantiated at this time. Administrator was available over the phone to review report. Exit interview conducted. A copy of the report was issued.