complaint·July 3, 2024

Facility not following Stipulation requirements Based on record reviewed and interviews it was determined that staff schedules and timesheets match the requirement of the facility stipulation at this time therefore, the above allegation is UNFOUNDED. A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis. Facility gate is in disrepair Based on record reviewed and interviews the department found that the alarm on the gate was not working, however the gate was working. The alarm broke 11/28/23, parts arrived 12/8/23, alarm was fixed 12/9/23. The gate was not observed to be in disrepair on 2/14/24/ or 6/13/24; therefore, the above 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 ensure resident's room is kept free of mold Based on record reviewed and interviews it was determined that the facility used to have mold in a bedroom, but that bedroom was not used by any resident. The bedroom was not a staff or resident room. The facility is an older facility and when there is more rain fall the rain sometimes enters inside that room. At the time of department walk thru on 2/14/24 and 6/13/24 there was no mold noticed in the bedroom or in the facility, therefore the above 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 and copy of this report was left at the facility.