During the complaint investigation visit on 5/31/24, LPM and LPA conducted staff interviews and record reviews. Through staff interviews and record review of R1’s IPP report dated 10/3/23 revealed that staff assist R1 during mealtimes. Further interviews indicated that staff are required to be with residents at the table during mealtimes and readily provide assistance to residents with eating through verbal and physical prompts. Types of prompts include reminding residents to slow down or offer drinks between bites to encourage residents to slow down and not rush through their meals to prevent choking. Per review of R1’s Physician Report (LIC602) dated 8/4/23 indicated that R1 is able to feed self without assistance and on occasion able to follow instructions when prompted. Additionally, R1 was not on any special diet nor have motor impairment. Through a review of R1’s weight record from 9/1/22 to 2/1/24 indicated that R1’s weight has been consistent at an average of 151lbs. Based on interviews and record reviews, LPA and LPM find the allegation that facility staff do not assist resident with eating their meals resulting in weight loss to be UNSUBSTANTIATED. A finding of UNSUBSTANTIATED means that although the violations may have occurred as reported the preponderance of evidence standard was not met.

Allegation: Resident is unable to pull down pants due to staff tying them too tight.

During the complaint investigation visit on 5/31/24, LPM and LPA conducted room inspections, staff interviews and record reviews. LPM, LPA and the Administrator inspected each resident’s clothing including their pants and shorts. It was observed that most of the residents have elastic waist pants and shorts and some with strings. Two residents were observed to wear jeans that would require the use of belts. According to an interview with the Administrator, residents are able to pull up their pants and put on their shirts. The Administrator added that staff would provide supervision and minimal assistants during dressing. Types of assistance include buttoning and/or zipping up their zipper. Interviews with staff indicated that staff encourages independence with dressing but at times residents would need reminders to slow down and to put their clothes on properly. Additional interviews with staff indicated that R1 is able to tie their shoestrings and pants strings. Record review also indicated that R1 needs assistance with dressing.

Based on interviews and record reviews, LPA and LPM find the allegation that resident is unable to pull down pants due to staff tying them too tight to be UNSUBSTANTIATED. A finding of UNSUBSTANTIATED means that although the violations may have occurred as reported the preponderance of evidence standard was not met.

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