complaint·May 12, 2025

Staff did not attend to resident in a timely manner Resident pendants are in disrepair A sample of resident call button response logs was reviewed. Based on call button logs, the typical response time for staff responding to a resident’s call alert ranges from 5–12 minutes. Residents interviewed stated they have not had issues with staff not responding to call buttons timely. Staff interviews indicated that staff usually respond to resident’s call buttons within 10-15 minutes. Staff did state that occasionally after assisting a resident, staff will forget to clear the call button request whereas documents may seem that residents are waiting for assistance longer. Based on records reviewed and interviews conducted, resident call pendant systems are operable, and staff are responding to residents in a timely manner. Based upon the information obtained during investigation, the above allegation is 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. Exit interview conducted. Report left with facility. Facility is malodorous Facility bathroom is in disrepair Based on five staff interviews (5) and four resident interviews (4) and department observation, the department observed the facility to be clean and sanitary. During department visits on 03/06/25 and 04/14/25 the department did not observe any bathrooms in despair. The facility did not observe to be malodorous including resident rooms, common areas and restrooms. All facility bathrooms were operating and sanitary. Residents stated the caregivers clean the facility and take out the trash frequently. Residents stated that their hygiene, toileting, and laundering needs are being met and that housekeeping, and the staff, do a great job. Staff interviews indicated that the facility is kept clean and sanitary without any concerns; therefore, the allegation is UNFOUNDED . A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis. Staff did not inform resident's representative of facility incident Based on documents obtained and statements reviewed, the department determined that the facility was following universal precautions for one resident with scabies. Staff is not required to notify anyone other than the resident’s family, unless there is an outbreak. Staff continued with proper hand washing and universal precautions. Therefore, the allegation is UNFOUNDED . A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis. Residents were not provided meals in a timely manner Based on five staff interviews (5) and four resident interviews (4) and department observation of the kitchen and meal service by the department found that there was an adequate amount of food for the residents. The food appeared to look appetizing and nutritious, sanitation in the kitchen appeared appropriate, residents said food was good, and portions appeared plentiful. Food supplies in facility were adequate per requirement. Currently, there is no evidence to suggest that staff have failed to provide adequate food service or provide it in a timely manner. Therefore, the allegation is UNFOUNDED . A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis. Exit interview conducted. Report left with facility.