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32 | The results of the investigation are as follows:
Allegation(s): Staff handled resident in a rough manner, Failed to ensure resident was treated with dignity,
Facility staff yelled at the resident, Staff failed to ensure safety of resident
On 05/11/2020 the Department began conducting interviews with staff and residents regarding the allegations listed above. Interviews with four (4) out of five (5) residents stated they have “no” issues with staff and feel “very safe,” at the facility and that the facility does a “good job,” and treats them “good.” Interviews with staff reported they have never witnessed staff handle residents roughly or yell at residents or other staff. Documentation reviewed indicates on 04/22/2020, an internal investigation was completed by the facility. The investigation addressed allegations made against staff behavior and treatment toward resident in care. On 03/26/2020 Resident (R1) stated in their interview that they feel “unsafe” around staff (S1) and feels “bullied” by staff (S2). S1 and S2 denied the allegations in their separate interviews. Interviews with witnesses and potential witnesses were conducted on 03/29/2020, 04/16/2020 and 04/20/2020 and could not verify R1’s statements. The investigation concluded as a best practice the facility will review with S1 and S2 the policy on Rule of Conduct for employees and emphasize the importance of professionalism and the use of inappropriate language is a violation of company policy. On 05/31/2020, R1 reported the facility care has improved since the facility completed their initial investigation.
Allegation: Resident was left soiled for an extended period of time
On the evening of 04/11/2020, Resident (R1) paged for staff assistance to transfer them from their bed to the commode. R1 stated Staff (S2) arrived to assist, however R1 told S2 to not return due to feeling unsafe around them. R1 reported they soiled themselves that night and was not checked on until 06:30am the next morning. Interviews with staff report R1 received their two (2) hour checks the night of the reported incident and to the best of their knowledge R1 was not left soiled that night. Facility was unable to provide documentation to verify R1 received their two (2) hour checks. No history of R1 having rashes or bed sores were reported. ADL charts reviewed indicate R1 received full toileting assistance (3) three times on 04/11/2020 and throughout the months of February 2020, March 2020 and April 2020.
Due to the above information, the Department finds the allegation(s) to be UNSUBSTANTIATED, meaning although the allegation(s) may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.
No deficiencies are being cited as a result of today's call.
Exit interview conducted via telephone, copy of report provided via email. The facility will print, sign and send a signed copy of the report to CCL and retain a signed copy at the facility.
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