Complaint·September 20, 2021

The Department has investigated the complaint alleging: Staff did not provide basic laundry service in a timely manner. Based on record review of the facility Laundry and House Keeping Log and Admissions Agreement, interview and pictures provided by the Reporting Party it has been determined that the facility did not provide basic laundry service in a timely manner. Documentation shows that scheduled services were provided but that soiled linens and clothing were discovered and not removed timely. The preponderance of evidence standard has been met, therefore the allegation has been found to be SUBSTANTIATED The Department has investigated the complaint alleging: Facility is not abiding be residents admissions agreement. Based on interview and review of the Admissions Agreement signed 4/9/2021, it was discovered that a 30 Day reassessment was not conducted for R1. According to the Reporting Party, this reassessment would have determined additional needs and assistance required for R1. The Department confirmed through interview that the reassessment was not conducted as stated in the Admissions Agreement. The preponderance of evidence standard has been met, therefore the allegation has been found to be SUBSTANTIATED. Deficiencies were observed and noted on the attached LIC 809D. A Plan of Correction was developed, an Exit Interview was conducted and a copy of this report including Appeal Rights were provided to the Administrator The Department has investigated the complaint alleging : Staff did not meet residents hygiene needs. Based on staff interview, it was determined that R1 refused assistance with hygiene and bathing much of the time. Record review of R1’s Needs & Service Plan, Physician's Report and Service Plan document that R1 was independent or required standby assist in providing own hygiene tasks. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation did or did not occur. The allegation is UNSUBSTANTIATED The Department has investigated the complaint alleging: Residents room is malodorous. Based on interviews conducted of other residents, services are provided to eliminate odors upon request. During interview with staff, it was reported that the room sometimes smelled like R1’s pet had soiled carpet or not been taken outside timely. It was reported that the carpet was cleaned upon request. Based of interview with residents and staff members as well as review of facility provided documentation of housekeeping, carpet cleaning and laundry/trash removal the Department is unable to determine if the allegation occurred. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation did or did not occur. The allegation is UNSUBSTANTIATED.