Complaint·May 23, 2025

Continuation - Page 2 This Department investigated the allegation: Facility has pests. The facility has a contract with Ecolab Pest Service. Receipts of service were provided and reviewed. There is a log maintained at the front desk where staff and family can report pests and request service. Facility maintenance or Ecolab sign off once the issue has been addressed. Sticky pads were observed in room 219 which are used as bait for roaches. Though small bugs were observed there is a procedure in place to address when identified. The Department investigated the allegations: Facility staff did not seek timely medical attention for resident and Facility staff did not observe resident's change in condition. Record review was conducted of R1's file and facility Observation Notes. The review confirmed that R1 had continued to become increasingly confused from 2/14-2/16/25. The notes show that facility staff communicated multiple times with R1's Responsible Party with updates on R1's increasing confusion including a fall on 2/15/25. Per the notes, Responsible Party repeatedly refused to send R1 to the hospital. It wasn't until R1 fell with injury and Paramedics spoke to Responsible Party that it was agreed that R1 would go to the hospital. The above allegations are UNSUBSTANTIATED . 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. There were no citations issued. An exit interview was conducted and a copy of this report was left with DON.