complaint·September 4, 2025

On 09/04/2025, LPA Duguma interviewed additional staff from 11:00a.m. – 12:00p.m. During interviews with staff, Staff #1 (S1) stated resident was not given documents to sign regarding their behavior during the period in question, rather R1 was given Assisted Living Waiver documents to sign. Copies were proved to R1 within 48 hours. During interviews with R1, R1 confirmed S1’s statement. Based on interviews, there is not enough information to verify the allegation. Therefore, the allegation is unsubstantiated at this time. --- Licensee did not repair resident’s shower in a timely manner. It was alleged that a caregiver took a trash can into the bathroom and somehow broke the shower, causing it to flood. To investigate the allegation, LPA Nicholas Reed interviewed residents and staff between 9:35 a.m. and 12:10 p.m. and toured the facility inside and out at 9:50 a.m. LPA toured the facility inside and out at 3:45 p.m., interviewed staff between 4:05 p.m. and 4:30 p.m., and conducted a record review at 4:30 p.m. On 09/04/2025, LPA Duguma interviewed additional staff from 11:00a.m. – 12:00p.m and conducted a physical plant tour. During interviews with staff, all staff stated while a housekeeper was cleaning, they inadvertently broke a shower cartridge but that it was addressed and replaced the same day. During interviews with R1, R1 confirmed staffs’ statements. Although the shower was temporarily in disrepair, facility took immediate action to resolve the issue. During the facility plant tour, LPA did not observe shower in disrepair. Based on interviews and observations, there is not enough information to verify the allegation. Therefore, the allegation is unsubstantiated at this time. No health and safety hazards noted during the visit. Exit interview conducted and a copy of the report was issued.