Through the course of the complaint investigation the Department conducted interviews and reviewed pertinent documents relevant to the allegation listed above. Interview statement received from R1’s RP indicated that the facility charged for services such as TV channels and incontinence supplies which Licensee told R1’s RP it was included prior to R1 moving in. R1’s RP paid a total of $30.00 for additional TV channels for two months and a total of $30.00 for wet wipes. The Department reviewed R1’s admission agreement and facility’s plan of operation, it does not indicate under additional basic services that TV channels or incontinence supplies will be provide by the facility. According to Licensee, the facility provides incontinence supplies to residents in care. Hospice also supplies incontinence supplies for residents that are on hospice.

Allegation: Staff ignored residents call alerts. – Unsubstantiated.

The Department requested for the facility to submit a call log for review; however, the facility was unable to provide it. According to R1’s RP, Licensee notified R1 that the facility would provide 24- hour care. All R1 had to do is press the call button and a staff will come to R1’s aid. R1’s RP stated Licensee was advertising it but didn’t provide it. The response time is over 30 minutes. Facility has lived in staff that provides care and supervision to all residents in care. Interview statement from S1, S2, and S3 stated when a resident uses the call button the response time is immediately and instant because it can be an emergency.

Allegation: Staff slept during night shift hours. – Unsubstantiated.

The Department reviewed the facility’s plan of operation. In the plan of operation under B-7 Program Description with Dementia Care Plan section: Visiting hours it states, Bethesda Senior Care provides care and supervision, 24 hours a day, 7 days a week.

R1’s RP stated staff were always asleep during their night shift. R1 uses the bathroom about 2-3 times an hour at night and need assistance to the bathroom. R1 indicated that staff are asleep at night and would tell R1 to pee in R1’s depends. Interview statement from three (3) facility care staff indicated that there are live in staff who provides care to residents 24 hours a day. S1, S2, and S3 stated when a resident uses the call button the response time is immediately. S1, S2, and S3 stated night shift staff are awake at night to care for residents. Interview statement received from R2’s RP indicated that night staff are up all night caring for R2 and has not witnessed night staff sleeping during their shifts.

Through the course of the complaint investigation the Department conducted interviews with three (3) facility staff, two (2) residents, and R2’s RP. Interview statement received from R1 indicated that the facility did not provide nutritious food. R1 stated facility provided meals such as spaghetti with hot dogs, fat free protein, skim milk instead of whole milk, and PB&J sandwiches for dinner. Fruits and vegetables were served occasionally. It was discovered through interviews with S1, S2, S3, and R2’s RP that food is adequately provided, three meals a day with a range of items being served.

This agency has investigated the above listed allegations. Although the allegation may have happened of is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred therefore, we have found the allegations to be UNSUBSTANTIATED.

An exit interview was conducted, and a copy of this report left at the facility.