Complaint·February 8, 2022

During the plant tour, the LPAs observed the common spaces to be clean and free of odors. Caregivers and housekeeping staff claimed that they clean and sanitize commonly touched surfaces throughout the day. If there are odors or unkempt surfaces detected in a resident room, residents can alert staff and the concern is managed as needed. Based on the information obtained, there is insufficient evidence to support the claim that the facility is unkempt. This allegation is deemed Unsubstantiated at this time. Regarding the allegation: Staff failed to provide residents with clean linens. It was alleged that the staff did not provide residents with clean linens. During the physical plant tour, the LPAs surveyed eight (8) randomly selected rooms within the Assisted Living and Memory Care unit. The rooms appeared to be clean and were well maintained. The LPAs observed the resident bedding and at the time of the visit, three of the eight beds were stripped, as the housekeeping staff were laundering the linens. For the other rooms, the linens appeared to be clean and free of odors. Staff interviews revealed that housekeeping staff wash the linens weekly basis. However, caregivers alleged that if need be, they will wash the linens if the resident soils the linens. Based on the information obtained, there is insufficient evidence to support the claim that the staff failed to provide residents with clean linens. This allegation is deemed Unsubstantiated at this time. Regarding the allegation: Staff do not practice social distancing. It was alleged that staff are not practicing social distancing. During today’s visit, the LPAs observed the staff break room and observed that tables were six feet apart, and chairs were removed from tables to encourage physical distancing. At the time of the visit, the LPAs observed three staff persons in the room, at separate tables. The LPAs also observed signs throughout the facility to promote physical distancing both in the hallways, and in the elevators. At this time, it was communicated that there are two residents that are isolated due to COVID-19. Interviews revealed that there are dedicated staff whom work with those residents. In critical staffing times, if staff had to provide care for residents whom were positive with COVID-19 and those whom were negative for COVID-19, the facility took precautions to mitigate the risk by ensuring that staff properly disposed of their Personal Protection Equipment (PPE) prior to leaving the isolation unit to avoid cross-contamination. Based on the information obtained, there is insufficient evidence to support the claim that the staff do not practice social distancing. This allegation is deemed Unsubstantiated at this time. No deficiencies cited at this time. Exit interview conducted. A copy of the report was issued.