complaint·August 15, 2024

Allegation: Staff are not providing adequate housekeeping services to residents Investigation Finding: Unsubstantiated During investigation, the department conducted interviews of staff, reviewed housekeeping schedules and toured the memory care unit with executive director (ED). LPA inspected random toilets in the memory care unit and observed toilets in good repair, clean, free of mold and did not have urine/feces odors. Review of housekeeping schedules for 07/29/24 until 09/01/24 showed memory care unit cleaned daily by housekeeping staff. Based on records review, interviews conducted, and observations made, the department has investigated the above allegation that staff are not providing adequate housekeeping services to residents and found it to be unsubstantiated. A finding that the complaint allegation is unsubstantiated means that although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation that staff are not providing adequate housekeeping services to residents is unsubstantiated. Allegation: Staff are not ensuring residents are provided toiletries Investigation Finding: Unsubstantiated During investigation, the department conducted interviews of staff and reviewed random residents’ (R1, R2, R3, R4) admission agreements. Executive Director (ED) stated residents are responsible for their own toiletries and incontinent supplies. Review of random residents (R1, R2, R3, R4) admission agreements showed facility is not responsible for furnishing or paying for any health care items or services not expressly included in the admission agreement such as medical supplies and incontinence products. Based on records review, interviews conducted, and observations made, the department has investigated the above allegation that staff are not ensuring residents are provided toiletries and found it to be unsubstantiated. A finding that the complaint allegation is unsubstantiated means that although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation that staff are not ensuring residents are provided toiletries is unsubstantiated. No deficiencies cited on this complaint. Exit interview conducted and a copy of this report provided.