complaint·July 13, 2023

During today's inspection, the LPA conducted interviews with four residents between 12:49 PM and 1:25 PM and conducted interviews with two staff members between 1:44 PM and 1:50 PM. Allegation: Incontinent residents are not being changed timely The allegation alleges residents are being left in soiled diapers. Staff interviews revealed incontinent residents are changed every two hours or as needed. The majority of the staff interviewed believed this was happening on all shifts. Interviews revealed staff do not document when they do resident changes. Interviews with the residents revealed no issues or concerns regarding being left in soiled diapers. Based on the information obtained, there is insufficient evidence to support the allegation of incontinent residents are not being changed timely. Therefore, the allegation is deemed unsubstantiated at this time. Allegation: Residents are not being bathed The allegation alleges residents are not being bathed. Staff interviews revealed residents are scheduled to be showered at least two times a week and when soiled. The majority of the staff interviewed believed this was happening on all shifts. Interviews revealed staff also do not document when residents get their scheduled showers and will only verbalize to the next shift if a resident refused to be showered so staff can try again during the next shift. Residents interviewed stated they received their scheduled showers. One resident stated there was an issue in the past with showers not being provided as scheduled but the issue has since been resolved. Based on the information obtained, there is insufficient evidence to support the allegation of residents are not being bathed occurred. Therefore, the allegation is deemed unsubstantiated at this time. Exit interview conducted and report reviewed with the Administrator. A copy of the report and appeals rights were provided.