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32 | It was not common, but when R1 was not able to place them, or remove them, staff would manually assist R1. There were a few occasions when R1 refused to place or remove the implants. These sources did not have any concerns with lack of assistance with cleaning, and there was no recollection of staff forgetting to clean the dental implants. As part of the facility's protocol, staff were tasked with photographing R1's dental implants placed in a container with water. These photographs were shared with the LPA.
An interview with an external source, who frequently visited the facility, revealed staff were assisting R1 with cleaning and maintaining R1’s dental implants. R1 mentioned to this source staff may have forgotten on one occasion to assist R1 with cleaning R1’s dental implants. This source added R1 seemed to be confused more than usual when this statement was made. The LPA interviewed R1, who was observed to be oriented to person, and place. R1 recalled previously residing at the facility and staff may have not cleaned R1’s dental implants on one occasion. R1 did not have any concerns with R1’s dental implants not being cleaned regularly. Based on the evidenced obtained, the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred.
It was alleged staff did not assist a resident with dressing. On January 17th, 2025, it was reported R1 was witnessed to be wearing a dirty shirt to a medical appointment. Interviews with internal sources and a review of records revealed R1 was diagnosed with Parkinson’s disease, tremors, and Mild Cognitive Impairment. Due to R1’s tremors, R1 may spill, or drool on R1’s shirt. Staff would assist R1 when R1’s shirt became dirty. One source reported R1 liked to snack on chocolate and R1 would sometimes hold the chocolate in R1’s mouth. R1 may have had a clean shirt prior to leaving the facility, drooled during the transport to the medical appointment, which may have resulted in R1 having a dirty shirt.
An interview with an external source, who frequently visited the facility, revealed R1 had plenty of clothing, but R1 could be selective. Some of R1’s shirts were described as “raggedy”. The LPA conducted a collateral visit to interview and observe R1’s clothing. R1 did not report any concerns with not being assisted with dressing. The LPA attempted to observe R1 clothing, but R1 had recently moved in to this placement and did not bring any of R1’s clothing. Based on the evidence obtained, the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred.
(See the additional LIC 9099-C for continuation of report.) |