complaint·June 9, 2021

For the allegation of Staff did not address resident's change in condition: Based on observations and interviews conducted during today’s visit, the findings indicate residents and staff revealed that staff would report resident’s change of condition timely. Four (4) out of four (4) staff and five (5) out of five (5) residents reported that staff would address resident’s condition if there are any changes. Review of staff training record showed that staff were trained to address the resident’s situation and ensure providing medical attention timely. Five (5) out of five (5) residents stated that they were not aware of any residents who had changed in condition but was not addressed by staff. Therefore, the investigation revealed that Staff did address resident's change in condition. For the allegation of Facility is dirty: Based on observations and interviews conducted during today’s visit, the findings indicate residents and staff reported that facility is clean and in good repair. Four (4) out of four (4) staff and five (5) out of five (5) residents reported that the facility was cleaned on regularly. All five residents indicated their rooms were clean at least once a week or more if needed. From the facility tour, LPA observed the facility and rooms are clean and in good repaired. Thus, the investigation revealed that the facility is clean. Based upon physical plant observation, interviews conducted, and documents reviewed, the findings indicate although the allegation(s) 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 allegation(s) are Unsubstantiated. A telephonic exit interview was conducted with assistant Administrator. A hard copy of the report was provided.