It is reported that R1 is not getting enough baths. LPA interviewed R1 who stated that they only get bedside baths once a week and would like more baths. R1 states that once a week is not enough and that they have told staff that they want more baths but have been ignored. LPA interviewed Administrator who denied this allegation stating that R1 gets a bedside baths every Monday and Thursday not just once a week, furthermore Administrator states that R1 agreed to twice a week and has not expressed a desire or requested additional baths. LPA interviewed facility Wellness Coordinator Staff #1 (S1) who stated that there is a verbal agreement with R1 that R1 will have a bedside bath twice a week. S1 states that R1 has not expressed to S1 that they would like additional baths and although R1 has not refused any of the currently scheduled baths, R1 does get upset when R1 has to get up even though this is something that R1 has expressed to want. S1 stated that they are constantly working with R1, however it has been a challenge as R1 expresses that they want to improve but is reluctant to cooperate at times. LPA interviewed seventeen (17) out of one hundred and sixty-seven (167) residents who all stated that they have no concerns with getting assistance if they require it for grooming or for any other needs that they may need help with. LPA reviewed facility logs pertaining to bedside baths and could observe that R1 does receive their baths twice a week and that there has been no refusal on R1’s end, to reflect that baths take place twice a week. Therefore, based on interviews, observations and record reviews, this allegation is deemed unsubstantiated at this time.

No citations issued. Exit interview conducted. Copy of report provided to Administrator.

It is reported that Resident #1 (R1)’s clothes and toiletries were stolen and/or missing. LPA interviewed R1 and R1 revealed that they did not say that their belongings were stolen or missing, they stated that their belongings were “not there”. LPA asked for clarification and R1 instructed LPA to check R1’s drawers to see if clothes and toiletries were present. LPA was able to locate R1’s belongings and toiletries in R1’s drawers that were half closed, allowing LPA to observe the drawers without having to open them. LPA informed R1 of what was observed and R1 simply acknowledged that it could have been a misunderstanding. LPA interviewed the Administrator who stated that there have been no reports made regarding any belongings missing for R1, denying the allegation. Administrator stated that R1 at times will alert staff that R1’s things are missing but are later located in R1’s dresser. LPA interviewed five (5) staff, and they all stated that they have not moved R1’s belongings. Two (2) of the five (5) staff interviewed work directly with R1 and they stated that R1 is constantly asking staff for their belongings and that they always show R1 that R1’s things are in the drawers. LPA interviewed seventeen (17) out of one hundred and sixty-seven (167) residents and they all stated that they have no concerns with their belongings not being safeguarded, adding that the staff are always helpful when they need assistance locating their belongings if they need it. Therefore, based on interviews and observations, this allegation is deemed unsubstantiated at this time.

Allegation: Staff are not providing mail to resident.

It is reported that R1 is not being provided with their mail. LPA interviewed R1 and R1 stated that they did not report this allegation. R1 clarified that they stated that the mail was delayed but never that it was not provided. LPA was able to observe a stack of unopened mail on R1’s dresser and when LPA inquired about the stack R1 restated that they never stated that it was not provided. LPA interviewed Administrator who denied the allegation that mail is not provided to residents stating that mail is taken to residents on a daily basis. Administrator added that mail is received for those residents that cannot go to their mailboxes, then it is sorted and distributed by staff. LPA interviewed five (5) staff who also denied the allegation stating that all residents get their mail, some in their mailboxes and some delivered to their rooms depending on their needs. LPA interviewed seventeen (17) out of one hundred and sixty-seven (167) residents who all stated that they have no concerns with their mail. LPA observed that some residents have mailboxes and some don’t as some repairs are being made some of the mailboxes. For residents that cannot get their own mail, or who’s mailbox is being repaired, the reception area is designated for the mail carrier to drop off mail or packages. Based on interviews and observations this allegation is deemed unsubstantiated at this time. Continued on LIC-9099C