complaint·October 30, 2025

It was alleged that staff did not replace the tennis balls/gliders on Resident #1 (R1)’s walker, making the walker inoperable. Interviews with R1, R1’s responsible party, and staff confirmed that the walker was not provided by the facility. R1’s responsible party purchased the gliders and had them attached to R1’s walker for easier use. Interviews stated that the gliders fell off the walker and were missing for a few days until R1’s responsible party repurchased and installed the gliders. LPA interviewed R1 who confirmed that their walker is operable and is able to be used with some difficulty when the tennis balls are missing. R1 stated that one of the tennis balls got lost in the facility car and R1’s walker was without the ball for a few days, however, R1 was still able to use their walker. LPA observed R1’s walker on 09/03/2025 and observed the walker to be operable. Staff interviews revealed that they had not observed R1’s walker to be inoperable. LPA reviewed records and observed that the facility purchased the glider replacement on 09/05/2025 and issued credit to R1’s responsible party for the glider accessory on 09/05/2025. Based on interviews and record review, the information obtained during the investigation does not have sufficient evidence to corroborate the allegation. Although the allegation may have happened or is valid, there is not sufficient evidence to prove the alleged violation did or did not occur, therefore the above allegation “Staff did not ensure that resident's medical equipment is operable.” is deemed UNSUBSTANTIATED at this time. No deficiencies cited at this time. Exit interview conducted. A copy of the report was provided.