complaint·April 15, 2025

Allegation: Staff are not mitigating the spread of infectious outbreaks in the facility. The complaint alleges resident (R1) has a skin rash that is spreading throughout the body. According to interviews conducted, the resident developed a rash late December 2024, and on March 24, 2025 staff reported the rash to R1's Nurse Practioner whom orderded permethrin medication. The resident began treatment on March 26, 2025. On March 28, 2025, medication Ivermectin was initiated because Permethrin irritated the resident's skin. Both medications are used to confirmed scabies, and in some instances as a precautionary plan to mitigate contagion to others. However, medical professionals never ordered a skin scrape to confirm scabies in R1. All staff interviewed denied there was a recent outbreak in the building, but did acknowledge R1's room was cleaned as if there was scabies and the resident was isolated and treated. Based on record review, none of the documents state R1 had confirmed scabies. Family reported that the resident has been experiencing rashes since late December, but the rashes have not been officially diagnosed. Therefore, there is insufficient evidence to corroborate the allegation. Allegation: Staff are not keeping the facility clean and orderly. It is alleged the facility is not clean. A total of 6 residents were interviewed. None reported the facility is not clean. A total of seven (7) staff were interviewed. All staff denied the allegation. Housekeeping staff stated the building and rooms are cleaned daily and resident rooms are thoroughly cleaned once a week and/or as needed. Staff stated that some residents tell housekeepers they do not like they way their room is cleaned. Executive Director stated that housekeeping staff clean daily, and deep cleaning of resident rooms is done once a week and/or as needed. Incontinent residents get their linens washed daily or every other day, common area sofas are power washed once a month, and all areas of the facility are disinfected everyday. A total of 18 rooms and all common areas were inspected. All rooms and common areas were observed to be very clean. During the visit, plenty of housekeeping staff was observed cleaning rooms and common areas. Therefore, there is insufficient evidence to corroborate the allegation. Allegation: Staff are not meeting residents' personal hygiene needs. It is alleged that facility staff are not providing proper hygiene care for resident (R1) because the resident developed rashes throughout their body. All staff and residents interviewed denied the allegation. Staff stated residents receive daily hygiene assistance and/or several times a day if needed. The facility specializes in caring for cognitively impaired residents that require extensive hygiene assistance. Based on observation, all residents looked well groomed and clean during the visit. Therefore, the allegation cannot be supported. Based on interviews conducted and document review, although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegations are UNSUBSTANTIATED . Exit interview was conducted with Anabelle Argenal. A copy of the report was issued.