- Date
- 6/17/2022
- Report number
- OR0003636201
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to assist with toileting
- Result
- Substantiated
- Findings
- Based on observation, interview, and record review it was confirmed that the facility failed to assist the resident in performing all activities of daily living, on a 24-hour basis with toileting assistance. Findings include but not limited to: During an unannounced site visit on 09/08/2022 Compliance Specialist (CS) heard Resident #4 (R4) screaming from behind a closed door in their room. CS was unable to locate a staff member for some time. CS checked on resident to verify safety and resident was yelling and requesting a brief change stating that they were messy and wanted to get up. CS found Staff #5 (S5) and requested assistance for resident. During separate interviews, Staff #4 (S4) and S5 stated that staff are very busy and do not have time to help with hygiene, showers, or toileting as much as residents need. A review of the facility's Acuity-Based Staffing Tool (ABST) revealed that the facility has 55 hours of care needed during the day. A review of the staff schedule for September 2022 revealed that the facility only scheduled two caregivers and 1 Med Aid for a total of 24 hours of care on day shift.