Complaint·January 23, 2024

One resident indicated sometimes they have to wait “a while” for staff to change them. Administrator stated R1 had a redness on their bottom but not an open sore. On 5/3/2022, a witness had a scheduled visit to the facility, and R1 was in the shower when they arrived and observed R1 had diaper cream on their buttocks after the shower. Administrator stated staff check on residents about every 45 minutes, but it could be 1-2 hours when staff are busy. Administrator stated they change residents at breakfast, lunch, and dinner, and “what’s needed in between, or as needed.” Staff interviewed stated they changed residents when needed, or when residents indicate they are soiled. Based on the information obtained, the allegation is deemed Unsubstantiated at this time. On the allegation: Resident is dehydrated. On 5/4/2022, a witness visited R1 and observed R1 to be dehydrated in their opinion. The witness rang R1’s bell to get water for R1, and staff did not respond to the bell. Per the witness, they believe the staff could not hear the resident’s bell. Staff interviewed indicated one of the residents drinks a lot of water, and therefore uses the restroom frequently. Staff also stated another resident had UTI symptoms and needed to drink a lot more, so they encourage the resident to drink or give them more liquid during meals. Staff stated they also have snacks between meals, which include smoothies, milk or other liquids. Based on the information obtained, the allegation is deemed Unsubstantiated at this time. On the allegation: Staff are not responding to residents call button. According to the witness, R1 indicated staff do not respond to their bell when they ring it for assistance. On 5/4/2022, a witness visited R1 and observed R1 to be dehydrated in their opinion. The witness rang R1’s bell to get water for R1, and staff did not respond to the bell. Per the witness, they believe the staff could not hear the resident’s bell. R1 was non-ambulatory, and was unable to walk without assistance, including a walker and wheelchair. R1 required help transferring in and out of bed. During the visit on 5/10/2022, LPA observed a resident use their call bell for assistance at 3:26 PM. The resident rang the bell, and staff left to assist the resident at 3:27 PM. LPAs interviewed residents about their call bells and how long it takes staff to respond. One resident indicated they did not know how to call for help, but indicated it takes a while for staff to come assist. Other residents indicated when they ring their bell, sometimes it takes a while for staff to respond. On 5/10/22 Administrator stated they use hand bells as a call system, and staff respond to residents when they ring the bell. Continued on 9099 C- (Page 3) On 1/23/24 Staff stated that three out of five residents have an electronic call button. One resident’s spouse prefers that they have a hand bell. Staff stated that another resident does not know how to use an electronic bell and uses the hand bell. Staff stated R1 had a call alert button in their room that they used to summon staff. Staff interviewed indicated they respond to resident’s needs. Based on the information obtained, the allegation is deemed Unsubstantiated at this time. Exit interview conducted, copy of report issued.