The Department interviewed a total of five (5) facility staff and reviewed four (4) resident records. Interview with staff (S4) indicated that Memory Care residents sometimes refuse assistance with hygiene needs, but the facility staff will follow up with resident later to make sure hygiene needs are made up for that same day. Three (3) facility staff indicated staff assist residents with hygiene needs by assisting residents with brushing their teeth in the morning and remind residents to wash their hands with soap after going to the toilet.

Allegation: Resident was not provided with adequate incontinence care. – Unsubstantiated.

Statement received from Complainant indicated that facility staff failed to provide adequate incontinence care to four (4) residents. Complainant stated facility staff are not changing residents’ depends, leaving residents soaked in urine and feces. The Department interviewed a total of five (5) facility staff and reviewed four (4) resident records. According to residents’ Physician’s Report, R1 and R2 have bowel and bladder impairment. R1 and R2 use depends and are unable to care for their own toileting needs. R1’s Level of Care Assessment was completed on 02/28/2022. Assessment indicated R1 requires 1-person total assistance with toileting. R2’s Level of Care Assessment was completed on 05/03/2022. Assessment indicated R2 requires stand-by assistance while toileting. R3 and R4 do not have bowel or bladder impairment. According to R3’s Assessment, which was completed on 11/24/2021, R3 requires 1-person total assistance with toileting. Interview with S3 indicated, Memory Care residents can be combative at times which can make it difficult for staff to provide incontinence care. Staff would try their best to redirect and convince residents to allow incontinence care. LPA received consistence statement from facility staff indicating that rounds are conducted every 2 hours to make sure residents care is being met.

Allegation: Staff left the facility and residents were left unattended. - Unsubstantiated.

Statement received from Complainant indicated two facility staff, S1 and S2, from Memory Care Unit had walked-off their scheduled shift, leaving residents without care and supervision. Interview statement received from S3 indicated a facility staff (S4) had witnessed S1 and S2 leave the community and reported S1 and S2 to management. Interview statement received from S5 indicated that S5 has worked the same shift as S1 and S2 and did not witness the two staff leaving their shift. According to Executive Director and Generations Program Director, they have never witness staff walk-off from duty at Memory Care Unit.

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LPA Keosavang interviewed two (2) kitchen staff, three (3) care staff, resident (R5) and R5’s son. It was discovered that the facility provided adequate food service to residents in care. No expired milk or moldy foods were being provided to residents to consume. On 8/17/2022, LPA interviewed R5’s son at the facility. He stated he had lunch at the facility twice with R5 and had no complaints about the food. According to facility chief, fresh food is delivered every week and milk is delivered every Wednesday and Saturday. According to the three (3) care staff, food is adequate and there are no complaints from residents or any concerns.

Allegation: Resident sustained pressure sores due to lack of care and supervision. – Unsubstantiated.

According to Complainant, R4 had been left in disarray and has sores that are stageable. The Department received and reviewed R4’s documents such as Physician’s Report, Emergency Contact, and Level of Care Assessments. R4’s primary diagnosis is Alzheimer. According to R4’s Physician’s Report, R4 has history of skin breakdown. R4 can care for personal needs such as bathing, grooming, feeding, and toileting. R4 is not receiving hospice care. Interview with S3 indicated R4 had a small open wound which the facility called Home Health to come out to evaluate which they indicated was not a pressure sore. R4 was provided a cream for open wound. Interview statement received from ED, indicated R4 only requires reminders for activities of daily living. ED indicated R4 did not obtain pressure sore while at the facility and does not currently have any pressure sores.

Allegation: Facility is in despair. -Unsubstantiated.

On 02/14/2022, LPA Michael Hood conducted a tour at the facility with Generations Program Director Kathryn Nevin. LPA observed the facility to be clean, safe, sanitary, and in good repair. LPA Keosavang interviewed facility staff (S5) who indicated facility is in good repair. S5 stated facility has a maintenance person who works at the community. S5 indicated if something needs to be repaired at the facility, the maintenance person would fix it right away. According to Maintenance Director, Dale Garrett, he is on call 24/7 and if he receives a work order then he would repair it right away. Maintenance Director stated the only time it may take longer than a day to repair is if he needs to order parts.

Due to the information above, LPA finds the allegations to be UNSUBSTANTIATED meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.