complaint·September 26, 2024

** This page was amended to include relevant information and correct a typo ** - LPA NR, 10/16/24 LPA received three (03) photographs on 09/16/24 of R1 using their walker on the plastic tarp in the hallway. The tarp was not taped down and was wrinkled, posing a tripping hazard to all residents. Record review of R1’s assessment from 12/06/22 revealed they were not a tripping hazard and did use a walker to ambulate. Interview with Staff #4 (S4) at 10:30 a.m. today revealed an outside vendor laid down the tarp in around June 2024 during kitchen repairs. Interviews with S4 and the Wellness Director at 2:30 p.m. today revealed the tarp was eventually taped down. The Wellness Director added that R1 is now nonambulatory and uses a walker. LPA did not observe any tripping hazards in the facility today or on 09/17/24. Based on observations, interviews, and record review, the plastic tarp posed a tripping hazard to R1, and the facility did not ensure the hallway was free of tripping hazards. Therefore, the allegation is deemed SUBSTANTIATED at this time. Deficiency is cited on the corresponding LIC 9099-D page. Exit interview conducted. Appeal rights discussed. Copy of report provided. During facility tours on 09/17/24 and today, LPA did not detect any foul odors in the facility. Interview with Staff #1 (S1) at 11:30 a.m. on 09/17/24 revealed they performed housekeeping duties in the facility. S1 cleans rooms and common areas everyday, and S1 has only smelled bad odors when residents are assisted with incontinence care. Interview with the administrator at 11:25 a.m. on 09/17/24 revealed they had not received any reports of foul odors in the facility. Interviews with six (06) other staff and eight (08) out of eight (08) residents interviewed revealed they have not detected foul odors in the facility. Based on observations and interviews, staff are ensuring the facility is not malodorous. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. Regarding the allegation "Facility staff are not ensuring carpets are clean” it was alleged the facility carpets were dirty. During facility tours on 09/17/24 and today, LPA observed the carpets to be aged but having so obvious signs of dirt which needed cleaning. Interview with S1 revealed carpets are cleaned everyday and shampooed twice a week. Interview with Staff #2 (S2) at 3:45 p.m. today confirmed the carpets are vacuumed everyday and shampooed as needed, though they did appear aged. Interview with the administrator revealed that carpets are cleaned everyday, and they had not received any reports of uncleanliness. Interviews with eight (08) out of eight (08) residents interviewed revealed they had no problems with the conditions of the facility carpets. Based on observations and interviews, staff are ensuring the carpets are clean. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. Regarding the allegation "Facility management staff are not available to resident's family" it was alleged no facility representatives from management were available for families. During facility tour on 09/17/24 LPA observed the licensing form LIC 308 Designation of Facility Responsibility posted at the reception area. It was signed on 08/07/24 and designated Wellness Coordinator Pamela Garrovillo as the manager in charge in the administrator’s absence. Interview with Pamela at 2:30 p.m. today confirmed she was in charge during the administrator’s absence. Interview with the administrator and Staff #3 (S3) at 11:15 a.m. on 09/17/24 revealed all staff were trained to report any family concerns to Pamela. Telephonic interview at 3:30 p.m. today with a family member of a resident revealed they were notified how to report concerns to in the administrator’s absence. Based on interviews and observations, although the administrator is not always present at the facility, the facility ensured a management representative was available to families and residents. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. Exit interview conducted. Copy of report provided.