complaint·December 4, 2023

It was alleged that Staff do not provide proper incontinence care to residents in care Based on observations, LPA observed incontinence supplies in the memory care wings, LPA observed a sufficient amount of diapers, wipes and gloves. Based on interviews with staff (S1, S4 and S5), incontinence residents are checked on and changed every 2 hours. When asked about incontinence supplies, S4 and S5 stated that supplies can be low with Hospice residents due to limited supplies and wrong sizes. Based on interview with Care Director (CD), Hospice agencies send incontinence supplies weekly without CD needing to request. Other incontinence supplies are restocked by CD and placed in four different locations (in an unlocked cabinet in the Wellness Center, in a locked area/closet in each memory care wing and in an overstock closet that CD has access to). It was alleged that Staff do not provide proper medication assistance to residents in care Based on interview with CD, med techs (Medication Care Manager), the Associate Care Director, the Wellness Nurse and CD themselves dispense medication. There are seven med techs on staff, and five work during the day (two during AM shifts, two during PM shifts and one during NOC shifts). Based on interview with resident (R1), R1 has not experienced any issues with their medications. R1 stated that staff knocks on their door and dispenses their medications without issues. It was alleged that Facility is not kept clean Based on observations, LPA observed the facility to be clean and without odor. Housekeeping staff were observed cleaning the facility during the initial visit. Based on interviews with staff (S3, S4 and S5), the facility is kept clean. S4 stated that on average they observe housekeeping sanitation three times per their shift. Based on interview with Executive Director (ED), resident apartments are cleaned once a week, unless they have an accident and/or need it to be cleaned more frequently. The whole facility is cleaned every day by housekeeping. Report continues on 9099 C It was alleged that Facility is not kept free of pests Based on observations, LPA did not observe any pests during the initial visit. Based on interviews with staff (S1 and S4), spiders are common in the memory care unit. S4 stated that they have observed spiders, roaches and stated that for some time there was a cricket in one of the hallways in the memory care wing. Based on interviews with Executive Director (ED) and Maintenance Manager (MM), the facility has a contract with Western Exterminator Company, the facility is inspected every month and treated as needed. Staff can report to MM when they observe pest, MM contacts the exterminator and the facility gets treated with the best mode to eliminate pest (such as traps and sprays). Although the allegations may have happened or are valid, there are not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED . Exit interview conducted and a copy of this report provided.