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32 | Allegation: Staff inappropriately handled a resident during showering. The complaint alleges that when resident (R1) is provided shower assistance by staff they treat the resident in a mean manner when other staff are not around, and the shower time is rushed. A total of five (5) care staff were interviewed, of which four (4) staff denied the allegation. Interviews revealed that most Memory Care resident showers take approximately 20-30 minutes to be showered. Per interviews, caregiver staff are not given time limits when showering the residents because it is based on resident behaviors i.e. some residents may be slower to get into the shower chairs, others do not want to be in the shower too long because they get cold, and some residents refuse assistance. None of the staff interviewed reported observing other staff treat the Memory Care residents in a mean manner during shower assistance time. Per record review, resident (R1) receives stand-by shower assistance. Staff stated that R1 takes a while to scrub themselves and is hard of hearing. Therefore, the staff's tone of voice may be construed as being treated in a mean manner that may be presumed as verbal impatience. A total of six (6) Memory Care residents with mild cognitive decline were interviewed, of which only (1) stated they are treated with disrespect during shower time. Two (2) of resident (R1's) family members were interviewed and both stated that they have never heard staff act inappropriately towards R1. They also reported that R1 liked to take long 1-hour showers prior to their recent move into this assisted living facility. There is insufficient evidence to corroborate the allegation.
Allegation: Staff did not ensure safe keeping of a resident's personal items. The complaint has concerns that resident (R1's) razors and pillow cases are missing from the resident's room. A review of resident (R1's) file documents shows that R1 has a diagnosis of Dementia. All staff interviewed denied the allegation and stated they are aware of R1's accusation of stolen items. According to staff interviews, Memory Care residents are not supposed to have valuables in their room. However, staff stated that resident (R1) likes to keep their wallet with cash in their room. Staff also reported that the resident often forgets where they place their cell phone and wallet, and tells staff that someone stole their wallet, but it is usually found in the resident's walker. The resident moved in to the facility in early February 2024, and upon move-in staff removed R1's razors for safety reasons. None of the residents in the Memory Care unit are allowed to keep sharp objects like razors in their room, only electric shavers are allowed. Resident (R1) has two (2) electric shavers in their room cabinet that is kept locked. Staff stated that the resident gets bothered when the electric shaver get locked. None of the staff had knowledge of missing pillowcases, but did say that R1 has accused staff of stealing things like soda and razors. Both family members interviewed acknowledged understanding that sharp objects must be locked, and also said that the resident has the alleged missing pillowcases. A total of six (6) Memory Care residents were interviewed, of which only resident (R1) reported issues with their personal belongings.
Based upon interviews and records reviewed, the findings indicate that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are Unsubstantiated.
Exit interview was conducted with Executive Director Kimberly Sanchez. A copy of the report was issued. |