complaint·June 15, 2021

Licensee did not ensure resident incontinent needs are being met LPA interviewed facility staff, residents, and reviewed records. During the investigation, it was determined that there was insufficient evidence to substantiate that licensee did not ensure residents incontinence needs are not being met. Interviews that were conducted concluded that staff and the residents all agree that there are never any inconstant items left in the trash cans or in the closets. LPA toured facility and did not observe any dirty depends in individual trash cans. LPA observed all dirty depends in the yellow bin stored in the utility closet. Based on statements and observations, this allegation cannot be proven. Therefore, this allegation is UNSUBSTANTIATED. Licensee did not ensure facility is clean and odorless LPA interviewed facility staff, residents, and reviewed records. During the investigation, it was determined that there was insufficient evidence to substantiate that licensee did not ensure facility is clean and odorless. Interviews that were conducted concluded that staff and the residents all agree that there have never been any odor that was not temporary in the facility. All reported that there are odors sometimes, but it is only after an accident and it is immediately cleaned, sanitized and aired out. LPA toured facility and did not observe any dirty floors, wheelchairs or odor in the building. Based on statements and observations, this allegation cannot be proven. Therefore, this allegation is UNSUBSTANTIATED. continued on 9099-C Licensee did not ensure resident medications are given as prescribed LPA interviewed facility staff, residents, and reviewed records. During the investigation, it was determined that there was insufficient evidence to substantiate that licensee did not ensure resident medications are given as prescribed. Interviews that were conducted concluded that staff and the residents all agree that there have never been any issues with medications. LPA determined that there is insufficient information available. Facility documents and statements indicate that R1’s PRN and prescribed medication were administered accordingly to doctor’s order. Based on statements and observations, this allegation cannot be proven. Therefore, this allegation is UNSUBSTANTIATED. Based upon the information obtained during investigation. The above allegations are unsubstantiated. A finding that the complaint 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 An exit interview was conducted and a copy of this report, dated 06/10/202 was provided.