According to the hospice progress notes, the residents received regular and documented care, including baths and assistance with personal hygiene tasks such as mouth care, dressing, and perineal care. These tasks were performed by hospice aides on scheduled dates throughout January.

The facility's shower logs indicated that the resident also received bed baths from memory care staff between hospice visits, with dates specified for each instance. Interviews with memory care staff confirmed their protocol of providing showers at least twice a week, with additional details recorded in a log titled Body Check Analysis, documenting observations of residents' hygiene status.

During interviews, both assisted living and memory care caregivers affirmed their practices of assisting residents with showers multiple times per week and conducting regular checks and changes for residents in their care, including incontinent care every two hours as needed.

An interview with an outside agency staff raised concerns about one resident's care, noting instances where the resident was allegedly left in soiled clothes for extended periods and did not receive adequate cleaning between hospice visits. However, they acknowledged improvements in care practices since November.

Based on the findings from records, interviews, and observations, the Department concluded that the allegation was UNSUBSTANTIATED. The investigation showed difference in perception of care between facility staff and outside agency staff regarding the adequacy of care provided to residents. Ongoing monitoring and documentation were recommended to ensure consistent and appropriate care for all residents.

Note that a finding of Unsubstantiated means that the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred.

An exit interview was conducted with Ashley and a copy of this report and the appeal rights were provided.

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