complaint·June 27, 2024

Allegation: Staff did not ensure the safety of food products provided to residents. On 06/20/2024 a credible witness conducted a routine inspection at the facility and observed expired, up to two years, perishable and nonperishable food items in the pantry, refrigerator, and freezer. During today’s visit, LPA conducted an interview with the Administrator who confirmed that the expired food had been already thrown away and new groceries have been purchased and re-stocked. Based on today’s interview and the information gathered this allegation is Substantiated. Allegation: Staff did not assist resident with hygiene care. It was alleged that on 06/20/2024 a credible witness conducted a routine inspection at the facility and observed R1 had overgrown toe nails and indications of a fungal infection on a big toe. To investigate this allegation, LPA conducted an interview with the Administrator who confirmed that R1 hasn't been seen by a Podiatrist for some time. Administrator also informed LPA that R1's doctor had been notified and a Podiatry referral had been approved. However, R1's request for an appointment is still pending. Based on today’s interview and the information gathered this allegation is Substantiated. Allegation: Staff do not provide planned activities for residents . It was alleged that the facility does not provide planned activities for the residents. To investigate this allegation, LPA conducted an interview with the Administrator and was informed the facility does not have planned activities for the residents. There are some board games or television for residents to partake in, but nothing planned. Moreover, five (5) residents interviewed confirmed that they only come out from their rooms during the meal hours and once they are done, they go back to their room with no further activities. Based on today’s interview and the information gathered this allegation is Substantiated. Deficiencies issued per Title 22. Exit interview conducted appeal rights explained and copy of this report signed and delivered. Allegation: Staff restrict residents to their rooms. It was alleged that residents are not allowed to come out to common areas, such as living room and back yard, and are kept in their room whole day. To investigate this allegation, LPA conducted an interview with the Administrator and two (2) staff, and all parties interviewed denied the allegation. In addition, LPA conducted interviews with six (6) residents and five (5) out of six (6) residents who were able to communicate also denied the above allegation and informed LPA that no such restrictions were made by the facility and all residents are allowed to come to the living room anytime. Based on today’s interview and the information gathered this allegation is deemed Unsubstantiated. Allegation: Staff are withholding residents’ personal funds. It was alleged that the residents' personal funds are not being provided to them and are being withheld by the staff. To investigate this allegation, LPA conducted an interview with the Administrator who denied the above allegation. LPA was informed that residents can access their funds by making a request. After the request, the funds get disbursed in the form of cash and a P&I log is being signed by the resident upon receipt. LPA was also provided with copy of the bond, signed and dated on October 28th, 2022 along with P&I log records. LPA reviewed the records and counted the funds. LPA observed P&I log, receipts and savings funds to be complete and accurate. Moreover, interviews with five (5) out of six (6) confirmed that they receive their P&I funds upon request and expressed no concerns regarding this allegation. Based on today’s interview, record review and the information gathered, the facility did not mismanage resident funds. Therefore, this allegation is deemed Unsubstantiated. Exit interview conducted and copy of this report signed and delivered.