Based on the interviews conducted with staff and residents, as well as the review of facility records, including charting notes, staff schedules, and resident records, it has been determined that the facility is meeting the resident's ADL (Activities of Daily Living) needs as required. The interviews with both staff and residents indicated that care was being provided in a professional manner, and no concerns were expressed. Based on these investigations, it has been concluded that the facility has enough staff to meet the residents' needs. During the department's visits, it was observed that the residents’ needs were being met. Based on the investigation, the allegation made against the facility is found to be UNSUBSTANTIATED.

Allegation- Facility staff left resident in soiled clothing for an extended period of time.

Based on the interviews conducted with staff and residents, as well as the review of facility records, it has been determined that the resident's ADLs, including their incontinence and care needs, are being met as required and documented accordingly. The residents' interviews indicated that the staff were providing care in a professional manner, without expressing any concerns.

From the record review for Resident 1 (R1), it has been concluded that R1 was admitted to the facility on 06/12/23 after an extended stay in the hospital due to a recent stroke and declining health. During R1's stay at the facility from 06/12/23 until the discharge date of 06/19/23, R1 experienced multiple falls due to their health condition. The facility called 9-1-1 on multiple occasions to ensure R1's safety and provide assistance.

Additionally, R1 experienced episodes of diarrhea during their stay at the facility, and the staff promptly assisted R1 in cleaning themselves up, including providing showers as needed. The department has concluded that the facility staff did not leave R1 in soiled clothing for an extended period of time and provided appropriate care to meet R1's needs.

Based on these findings, it can be determined that the facility staff acted responsibly and provided appropriate care to R1, considering their specific care needs and health conditions, therefore, the above allegation is found to be UNSUBSTANTIATED.

*** Report continued on LIC9099C.......

Based on the interviews conducted with the administrator, residents R2 and R3, and staff members S1 and S2, it has been determined that there is no evidence of staff being inappropriate or disrespectful towards the residents. The administrator mentioned that staff may speak loudly to residents who are hard of hearing in order to effectively communicate with them. However, this does not indicate any misconduct or disrespect. The residents' interviews revealed that the staff provide care and assistance in a professional manner, and they denied experiencing any disrespect or misconduct from any staff member at the facility.During the department's visits to the facility as part of the complaint investigation, it was observed that the facility staff were attentive to the residents' care needs. The residents indicated that the staff were providing satisfactory care. Based on these findings, there is no substantiated evidence of staff being disrespectful or engaging in any misconduct towards the residents therefore, this allegation is UNSUBSTANIATED.

Based on the interviews conducted with staff and residents, as well as the review of facility records, including charting notes, staff schedules, and resident records, the department has reached the following conclusions:

From the record review, it has been determined that Resident 1 (R1) was in the hospital from May 2023 until their discharge to the facility on 06/12/23. R1 had an extended stay in the hospital after suffering a stroke in May 2023. The hospital records and medical records indicated that R1 was at a high risk of falling due to the stroke and other medical complications.During R1's stay at the facility from 06/12/23 until the discharge date of 06/19/23, R1 experienced multiple falls. However, it has been concluded that these falls were due to R1's medical condition and not because of any lack of care or supervision provided by the facility. The facility responded appropriately to these falls by providing the necessary care and assistance to R1 and seeking medical help when needed by calling 9-1-1. Based on these findings, the falls occurred as a result of R1's medical condition, and the facility provided appropriate care and assistance in response to these incidents therefore, this allegation is UNSUBSTANIATED.

Based on interviews conducted by the Department and records review, the preponderance of evidence standards has not been met. Therefore, the above all allegations are found to be UNSUBSTANTIATED. A finding that a complaint allegation is unsubstantiated means 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.