- Date
- 8/19/2016
- Report number
- OR0001161101
- Type
- Licensing Violation
- Level
- 1 - No harm or potential for minor harm
- Allegation
- Failed to follow care plan
- Result
- Substantiated
- Findings
- On August 19, 2016, Compliance Specialist (CS) interviewed Resident 1 who indicated his/her showers are given at his/her preferred time 3 days per week. Resident 1 clarified he/she requires 2 staff members to assist for all transfers. Resident 1 indicated his/her Service Plan calls for staff toileting him/her at various times of the day. Resident 1 indicated that it is not occurring and he/she has accidents in briefs regularly as a result.On August 31, 2016, CS received a copy of Resident 1 ' s most recent Service Plan and it indicates staff to assist Resident 1 " to the restroom using the sit to stand and change his/her undergarments at his/her request, when getting ready for bed, at 2am (as he/she will allow) and as needed.On August 19, 2016, CS interviewed Resident 2 who indicated he/she requires 2 staff members to assist him/her for all transfers. Resident 2 indicated staff shortages has been interfering with him/her getting that assistance and also causes his/her shower schedule to become erratic.On August 31, 2016, CS received a copy of Resident 2 ' s Service Plan date August 1, 2016. Resident 2 ' s most recent Service Plan indicates " 2 staff to assist " for transfers.On August 31, 2016, CS interviewed Resident 5 who indicated they require staff assistance for showers and have been receiving it. However, Resident 5 requires laundry assistance and it has not been getting done on Mondays as it should. On August 31, 2016 CS interviewed Resident 6 who indicated he/she requires 2 staff for transfers but many times they cannot locate a second staff member to help for transfers.On August 31, 2016 CS interviewed Resident 7 who indicated he/she is supposed to be assisted with exercise three days per week. Resident 7 stated that depending upon who is working, he/she will not receive assistance with exercise for a whole week. Resident 7 explained there has been a lot of staff turnover as well; new care givers are unaware of his/her Service Plan requirements.On September 26, 2016, CS interviewed Staff 1 and shared resident interview complaints with him/her about facility not following their respective Service Plans. Staff 1 verbally challenged those complaints about facility not following respective Service Plans but progress notes produced do not clearly indicate facility was following respective Service Plans.