Interview conducted with Staff member S1 indicated that Resident R1 is cognitive and able to make decisions for themselves. R1 regularly refuses any assistance with hygiene or grooming. R1 will often refuse all showers, does not want to brush their teeth or use the restroom but instead uses a commode in their room although R1 is able to walk and use the restroom with assistance. S1 tries their hardest to assist R1 with hygiene and grooming tasks but understand they cannot force R1 but only encourage when there is a denial of hygiene and grooming tasks. Interview with Licensee indicated that the facility staff have had difficulty communicating with R1 in an effective manner to encourage good hygiene practices. Licensee has made attempts to speak with R1’s family to encourage good hygiene practices but R1’s family is unable to convince R1 as well. R1 had home health services coming to assist with hygiene but R1 turned away the home health nurses on multiple occasions. Interview conducted with Resident R1 indicated that they are doing good in the home and receiving the help that they need with hygiene and grooming.

Documents reviewed indicated that R1 is in need of assistance with all self care and hygiene. Staff are encouraging R1 to move about the facility but R1 wants to stay in their room.

Based on interviews conducted, observations, and records reviewed, the preponderance of evidence standards have not been met. Therefore, the above allegations are found to be UNSUBSTANTIATED. A finding that a complaint allegation is unsubstantiated means that, although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

Exit interview was conducted. A copy of this report was provided. Signature on these forms acknowledges receipt of these documents.