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32 | Allegation: Staff do not assist residents with repositioning.
The allegation alleges that staff do not help a resident reposition for meals.
During the facility inspection, LPA observed staff bring lunch to residents’ rooms. For residents who were having their meal in bed, LPA observed staff assist the residents up higher on the mattress before they raised the resident’s head.
During record review, LPA received and reviewed resident R1’s Service Plan (dated 07/29/2025) that indicates R1 requires support with ambulation, mobility and repositioning. An added note states “Provide additional staff support to help with repositioning in bed. Additionally, LPA received and reviewed Staff S2-S10 training logs that indicate staff have received the following training on Relias within the last year, Assisting With Proper Positioning, Promoting Safe Eating, and Care of the Bedridden Individual. LPA received and reviewed In-Service training logs regarding Transfers/2 person assist and Rotating Bed Bound/Wheelchair Bound Residents.
During interviews with Staff S1-S10, were asked if residents are assisted with proper positioning before receiving their meals, ten (10) out of ten (10) stated yes, they ensure the residents who are non-ambulatory or bedridden are positioned properly before eating meals.
During interviews with Residents R1-R7, were asked if staff ensure they are positioned properly during meals, six (6) out of seven (7) stated yes staff ensure they are positioned properly. One (1) out of seven (7) stated they do not require assistance with positioning during meals.
During the course of the investigation, LPA was unable to find evidence to support the allegation(s). Although the allegation(s) may have happened or is valid, there is no preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation(s) is/are unsubstantiated.
During today’s visit, LPA did not observe or cite any deficiencies.
An exit interview was conducted with Executive Director, Robert Jakini, and a copy of this report was provided.
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