complaint·April 7, 2025

Regarding the allegation: Licensee did not ensure passageways were maintained free of hazards. It is being alleged that because there is construction being conducted there is debris such as piles of carpet, lumber, tiles and shards of glass leaning against the wall creating a hazardous passageway. During LPA’s physical tour, LPA observed construction being conducted on the first and second floor. There was debris such as paint buckets, piles of lumber and fiber glass, ladders, exposed electrical wires and electrical outlets in the passageways, dining hall area and patio area creating a hazardous environment to both residents and staff. LPA interviewed four (4) residents and four (4) staff that confirmed there has been construction being conducted for several weeks now. Therefore, based on the LPA's observations, staff and resident interviews, the above allegation(s) above is SUBSTANTIATED at this time. Regarding the allegation: Licensee did not ensure elevators were maintained in working condition. It is being alleged that the elevator was not working for two (2) days. Although, the elevator is properly working now, it was confirmed by four (4) residents and four (4) staff that the elevator was not previously working. Therefore, based on the LPA's observations, staff and resident interviews, the above allegation(s) above is SUBSTANTIATED at this time. Regarding the allegation: Facility does not have Evacuation Plan. It is being alleged that there is no emergency exiting plans posted and there is no emergency evacuation plan. During LPA's physical tour, LPA did not observe any emergency exiting plans or/and sketches of the facility on the first or second floor during construction. There is an emergency evacuation plan that is available upon request of the resident and/or resident's family member but the emergency evacuation plan was not provided to the resident and/or resident's family when it was asked to be seen. Resident #1 (R1) and their family member confirmed they have not seen the emergency evacuation plan that they requested . Therefore, based on the LPA's observations, staff and resident interviews, the above allegation(s) above is SUBSTANTIATED at this time. An exit interview was conducted, citation(s) were issued and the appeal rights were given and a copy of this report was given to the Business Manager.