1
2
3
4
5
6
7
8
9
10
11
12
13 | Licensing Program Analyst (LPA) Adam Hamer conducted an unannounced complaint investigation visit on today’s date. LPA identified himself at the front lobby, was granted entry and met with Administrator Kathleen Mitchell. LPA discussed with Ms. Mitchell the purpose of the visit, which was to deliver findings for the above complaint allegations.
The Department’s investigation included, but was not limited to, interviews with staff, residents and outside sources. Facility records were also obtained by the Department and reviewed for pertinent evidence.
The Department received a complaint on July 1, 2020 that residents’ hygiene needs were not being met, facility did not meet the needs of incontinent resident(s) and did not provide adequate food service for resident(s). The Department’s interviews with residents and staff revealed that the residents were bathed regularly, their linens were being changed regularly and they were they not left for long periods of time in soiled diapers or clothing. If a resident ran out of shampoo, body wash or soap, the facility would use its own supply until the residents would get additional supply from their families. Interviews with residents revealed that their hygiene and incontinence needs were being met and that they were never left for long periods in soiled clothes. LPA observations during a facility visit also revealed that the residents were clean, dressed in clean clothes and well-groomed, and that the facility had an abundant supply of linens and incontinence supplies inside of storage closets. A records review revealed that residents #1, #2 and #3 (See Confidential Names List – LIC 811) were receiving assistance with incontinence care. Records review also revealed that the facility’s housekeeping staff was regularly cleaning the rooms, including changing linens in the residents’ rooms.
Regarding the food service allegation, the Department’s interviews with staff and residents revealed that residents received food when they were hungry, the kitchen was stocked with sufficient foods and within regulations, and there were refrigerators on every floor of the facility, accessible to residents, and stocked with nutritious snacks for residents. The residents were offered snacks every day at 10 am, 2 pm and 6 pm, including sandwiches, fresh fruits, crackers, granola bars and juices. LPA also observed an adequate supply of nutritious foods in the kitchen area and in the refrigerators on each floor, including nutritious snacks for the residents. During a facility visit by LPA, there was at least a two-day supply of perishable foods and a seven-day supply of non-perishable foods at the facility. Interviews with residents also revealed that they were satisfied with the food service at the facility and were never left hungry. Also, during a records review, the Department also reviewed the facility’s menus for June 2020, which revealed that the residents were being provided nutritious meals for breakfast, lunch and dinner and a choice of snacks three times a day.
Based on the evidence obtained from the complaint investigation, the allegations that residents’ hygiene needs are not being met, that the facility did not meet the needs of incontinent resident(s) and that the facility did not provide adequate food service for resident(s) are found to be UNSUBSTANTIATED, meaning that there is not a preponderance of the evidence to find that the allegations are true.
An exit interview was conducted with Ms. Mitchell and a copy of this report, a List of Confidential Names (LIC 811) and Licensee's Rights (FAS 9058 01/16) were emailed to her to the email address she provided to LPA; she expressed that she would send an email confirmation to LPA upon receipt of these documents.
|