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32 | and staff check of R1 on hourly basis or more. Four (4) staff members stated that they check on R1 on hourly basis and assist R1 with incontinence care or toileting. Administrator and four (4) care staff stated that R1 does not have dementia. LPA interviewed R1 who stated their diagnosis is not dementia and they denied having memory or dementia related symptoms. R1 stated they need assistance with ADLs and staff always remind R1 to wear incontinence clothing but R1 does not always want to wear incontinence clothing and is able to use the restroom on their own. R1 stated staff assist them with toileting and incontinence care several times a day and provide all necessary ADLs. LPA reviewed physician reports and individual service plan (ISP). LPA observed that R1 has been assessed multiple times but there is no indication of a diagnosis of dementia or changes in resident’s ADL services.
Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.
In regards to allegation, Staff does not keep the facility free of odor. It is alleged that: Resident #1 frequently urinates in their clothing and hangs wet clothing to air dry the items on bedrail or shared bathroom. LPA interviewed the Administrator who stated they have been several occasions that resident refused to wear incontinence clothing but staff check of R1 on hourly basis to ensure toileting needs are met. Of eight (8) staff interviewed, four (4) care staff mentioned that they encourage R1 to wear incontinence clothing and that R1 has been compliant. The care staff stated that they check on R1 on hourly basis for ADLs and toileting; they remind R1 to use the restroom but R1 prefers to use the restroom on their own. Care staff mentioned they make sure resident is clean and has a fresh/dry incontinence clothing all the time and they bathe residents at least twice a week or more, due to accidents. Four (4) staff mentioned that there were a few times when R1 had accidents in bed and removed the clothing to air dry but staff noticed and changed/washed the clothing and the sheets. Upon reminding resident about hourly bathroom checks, R1 is hardly having accidents and/or soiled clothing. R1 was provided a lided hamper, which is kept in the closet, which all dirty clothes are maintained. Interviews with three (3) housekeepers revealed that they check on each resident on daily basis to ensure rooms are clean, trash is emptied and all dirty clothes/linens are sent to be washed. LPA conducted interviews with nine (9) residents. Four (4) stated they take their own showers and use the restroom on their own but there is always staff to assist. Five (5) residents stated that staff check on them every hour or two hours to assist with any needs such as toileting and that they are showered two
Continued on 9099-C
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