complaint·January 8, 2024

The investigation revealed the following. Regarding Allegation: Facility has bed bugs- It is alleged the facility has bed bugs. LPA Ramirez toured six (6) resident rooms. Two (2) out of four (4) staff interviewed confirmed this allegation. Five (5) out of the six (6) residents interviewed confirm this allegation. LPA Ramirez observed several brownish-red stains throughout R6’s pillowcase. LPA Ramirez observed Orkin Pest Control service reports dated 10/25/2023 and 12/19/2023, that indicated the facility was treated for bed bugs. Based on observations, records review and interviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated . Deficiency is being cited. Exit interview was conducted and a copy of this report, 9099-D and appeals rights was provided. The investigation revealed the following. Regarding Allegation: Staff exposed resident to hazardous materials- It is alleged staff sprayed insect spray while resident# 7 (R7) was present. Four (4) out of the four (4) staff interviewed deny this allegation. Six (6) out of the six (6) residents interviewed deny this allegation. Due to R7 no longer being in the facility, LPA Ramirez was unable to interview resident or contact resident. LPA Ramirez conducted physical plant tour and did not observe and hazardous materials accessible to residents in care. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED . Staff did not accord dignity to a resident in their relationship- It is alleged facility did not treat R7 with dignity and accused R7 of brining insects into the facility. Four (4) out of the four (4) staff interviewed deny this allegation. Six (6) out of the six (6) residents interviewed deny this allegation. Due to R7 no longer being in the facility, LPA Ramirez was unable to interview resident or contact resident. LPA Ramirez observed several staff providing care and supervision. LPA Ramirez did not observe any deficiencies. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED . Staff do not serve palatable meals- It is alleged the facility is not serving palatable meals to diabetic residents. Four (4) out of the four (4) staff interviewed deny this allegation. Three (3) out of the six (6) residents interviewed revealed that sometimes meals provided by the facility are lacking flavor. Due to R7 no longer being in the facility, LPA Ramirez was unable to interview resident or contact resident. LPA Ramirez toured kitchen while lunch was being prepared. LPA Ramirez observed various spices and seasonings in facility pantry. LPA Ramirez observed facility menu near kitchen entry. LPA Ramirez did not observe and deficiencies in kitchen area. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED . Staff do not serve alternative foods for diabetic resident. It is alleged the facility does not serve alternative foods for diabetic residents. Four (4) out of the four (4) staff interviewed deny this allegation. Six (6) out of the six (6) residents interviewed deny this allegation. Due to R7 no longer being in the facility, LPA Ramirez was unable to interview resident or contact resident. LPA Ramirez observed facility’s alternate entrée policy near kitchen entrance. Interviews with staff revealed that residents with diabetic restrictions or other dietary restrictions may choose items from this menu. LPA Ramirez observed “Diabetic Residents List” in kitchen area where kitchen staff prepare meals for residents. LPA Ramirez observed sugar-free condiments and food items in facility pantry. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED . Exit interview was conducted and a copy of this report and appeals rights was provided.