Staff are not assisting residents with bathing. It was alleged that Resident #1 is not showered or bathed and feels very dirty.

Interviewed Administrator and staff denied the allegation. The facility provides shower assistance to residents twice a week and as needed. On the days that residents do not receive a shower they are sponge bathe by staff and if residents miss scheduled bathing times or staff is unable to bathe residents, residents are bathe during the next shift or the following day. Staff indicated that sometimes it took more than 2 hours to convince residents to take a shower or bathe. Staff stated that family members getting involved too if needed. The residents interviewed stated Staff showers them twice a week and as needed and they feel clean. LPA observed resident shower dates were documented and signed by residents. Staff stated that R1 never happy with staff who assisted R1 for any services. R1 always giving attitude to staff and called names. Administrator spoke about this with R1’s daughter and she apologize for her mom that R1 doing.

Facility is not assisting resident with obtaining health care services. It was alleged that R1 would offer physical therapy/rehabilitation but R1 was left in the bed the whole time.

During the investigation, LPA learned that R1 admitted to the facility on 08/09/2021 without an order for Home Health / Physical Therapy. R1 was self responsible including medical decisions. Administrator and staff indicated that they tried to assist R1 with obtaining health care services but R1 always rejected to get help from the facility staff to arrange health care services / physical therapy through other health care agencies (Home Health Care). Interviewed staff stated that facility staff always help residents to obtain health care services. Interviewed residents stated that staff very helpful and they always get assistance with health care services. Residents understand that it is a process and staff will do their best to enrolled or change the health insurance to get the necessary services. Administrator and interviewed staff indicated that R1 get assistance from the staff and didn’t left in the bed the whole time. LPA interviewed R1 in the conference room which was located on the 1st floor. LPA observed that R1 was in wheelchair and was able to ambulate by their self.

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The LPA interviewed Administrator, staff and residents who all stated that there were no cats or other animals on the premise. Administrator and staff indicated that there are cats outside of facility and sometimes residents feeding them even staff told them do not do it. They stated that residents didn’t bring them inside. They didn’t hear any complaints from residents or others that there are cats at the facility. Interviewed residents stated that there are cats outside of facility but they never coming inside. They stated that have not seen the cats come into the facility, in the common areas or their rooms. Facility not allow cats or any animals at the facility. At the time of visit LPA didn’t observed any cats or other animals at the facility.