complaint·December 17, 2024

***report continues from LIC9099*** Allegation: staff do not follow residents care plan LPA reviewed R1, R2, R3 and R4’s care plans. LPA also interviewed R1, R2, R3 and R4. LPA asked about the care they are receiving at the facility and all 4 residents confirmed that they are receiving the care that is outlined in their care plans. This allegation is unsubstantiated. Allegation: staff do not allow resident to receive visitors Interview with S1 and S2 revealed that R1 was allowing visitors to come back to her bedroom without the facility staff even knowing that the visitors were in the building. R1 was using her cell phone to contact her visitors. On one occasion one of the visitors, a male, was seen lying on R1’s bed. The facility’s visitation policy states that visitors must wait in the lobby for staff to get the residents they wish to visit and the visit should take place in one of the common areas of the facility. Since all of the rooms are shared this policy ensures that the right to privacy of the roommate is protected. LPA also reviewed the visitation policy in the facility’s admission agreement, and it states that visitors should “wait in the lobby for staff assistance when visiting residents.” This allegation is unsubstantiated. Allegation: staff do not maintain facility is kept clean and free of odors LPA has been at this location on numerous occasions over the past three years. LPA has always observed the housekeeping staff to be very attentive and preforming their tasks to ensure the facility is clean and free of orders. LPA has never observed the facility to be dirty or smelly. S1 stated that they have 3 full-time housekeepers on duty from 7:00 AM to 7:00 PM. It should be noted that many of the residents are incontinent and sometimes have incontinence in the common areas of the facility. It is the experience of the LPA that staff are quick to clean up the mess. This allegation is unsubstantiated. Allegation staff do not provide resident with housekeeping service As stated above the facility has three full time housekeepers. During numerous visits to the facility LPA has observed the housekeepers preforming their work, i.e. sweeping, and mopping the floors, dusting surfaces, emptying trash cans, cleaning the residents' rooms, etc. They rotate throughout the facility to ensure the facility is kept clean. Residents’ bathrooms are cleaned on a rotating schedule. This allegation is unsubstantiated. ***report continues on LIC9099C*** ***report continues from LIC9099C*** Allegation: staff do not provide resident with toilet paper LPA observed toilet paper in R1's bedroom and bathroom as well as in her locked closet. LPA also observed toilet paper in several of the other bathrooms at the facility. S1 and S2 also stated they tell staff to check for toilet paper when they are working with the residents. This allegation unsubstantiated. Allegation: staff do not provide residents with activities LPA reviewed the facilities activity schedule and observed that there were several activities each day for the residents to participate in. LPA also observed that the activities occurring match what is listed on the activity schedule. During LPA's interview with R1 she stated that she doesn't like to participate in the activities at the facility because she doesn't like interacting with the other residents. R1 prefers to stay in her room and read, exercise and journal. This allegation is unsubstantiated. This agency has investigated the allegations above. We have found that the complaint was unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED . Exit interview conducted, a copy of this report provided.