Complaint·October 16, 2023

Licensing Program Analyst (LPA) Katie Brown arrived unannounced to conduct a subsequent complaint visit and deliver investigation findings to the facility. LPA met with and explained the reason for the visit with Administrator (AD) Heidi Setty. The Department has investigated the allegations listed above. LPA observed Resident (R1) and R1's room which was found to be clean and odor free on 7/6/23 and 10/16/23. Furniture and assistive devices were stored appropriately and neatly. R1 was observed clean and resting comfortably in bed. LPA observed R1 properly positioned during meals. During this visit, LPA conducted staff and Hospice Nurse interviews. LPA reviewed R1's file including facility's daily Staff Assignment Log for June - October 2023, Housekeeping and staff schedules were also reviewed. Based on observation, interview and record review, the above allegations are UNSUBSTANTIATED. Although the allegatiosn may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations did or did not occur. There were no citations issued An exit interview was conducted and a copy of this report was left with AD, whose signature confirms receipt of these documents.