complaint·August 25, 2023

Page 2 During inspection, LPA turned on the faucets and flushed the toilets in residents rooms in Assisted Living and Memory Care Units, and didn't observe any clogging and water in the sink was observed draining properly. Executive Director stated that no pipe broke or have issue where water backed-up. If residents flushed paper towel in the toilet, the toilet clogged and they fix the problem right away. One out of six (6) staff interviewed stated that residents may at times use the sink in the toilet to clean cups, and food scraps may cause draining problem but they take care of the problem immediately. Four out of 5 residents interviewed stated didn't have clogging issue, and 1 was not able to provide information. Allegation: R esidents left in soiled diapers for an extended period of time. Four staff interviewed who had or still have direct contact and/or provided/providing care to the residents stated residents' diapers are changed at least 3x during shift. The other 2 staff indicated they have not observed any residents in soiled diapers. Five residents interviewed indicated either not using diaper, can toilet on their own or use diaper and being assisted or changed by staff. Allegation: Facility staff are not cleaning residents room. It was alleged that residents rooms were not cleaned, and their garbage not removed. Staff interviewed stated that rooms in Memory Care Unit are cleaned and trash taken out everyday while the the Assisted Living rooms are cleaned once a week. One out of 5 residents interviewed was not able to provide information on the cleaning of the room. LPA conducted inspection and although observed 2 rooms in Assisted Living unit with residents' belongings on the floor, the flooring was observed clean. ....continued on 9099C (page 3) Page 3 Based on information gathered, the allegations of facility in disrepair, residents left in soiled diapers for an extended period of time, and facility staff are not cleaning residents room are closed as unsubstantiated. A finding that the complaint is unsubstantiated means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. No deficiency cited. Exit interview conducted, and copy of this report provided.