complaint·March 20, 2025

03/20/25 at 10am LPA conducted interviews with staff #4-5 (S4-S5). The investigation revealed the following: Allegation: Staff does not ensure the facility is kept clean and sanitary for residents in care It is being alleged that the facility is unsanitary, and feces left on the ground has been observed. On 03/14/25 from 9:30am- 12:25pm LPA conducted Interviews with R1-R7 regarding the allegation above, 7 of 7 residents denied the allegation above. On 03/14/25 and 03/20/25 LPA conducted interviews with S1-S5 regarding the allegation above, 5 of 5 staff denied the allegation above and reported house keeping cleans the facility daily and attends to any accidents right away when reported. On 03/14/25 LPA conducted a tour of the facility and observed the facility to be clean and sanitary. On 03/20/25 LPA conducted review of cleaning schedule, LPA observed there are 4 janitors scheduled daily. Allegation: Licensee does not ensure staff are in good physical health to perform assigned tasks It is being alleged that the facility has staff on light duty and are left alone to care for residents. On 03/14/25 from 9:30am- 12:25pm LPA conducted Interviews with R1-R7 regarding the allegation above, 7 of 7 residents denied the allegation above and reported feeling safe when assisted by staff. On 03/14/25 and 03/20/25 LPA conducted interviews with S1-S5 regarding the allegation above, 5 of 5 staff interviewed denied the allegation above and reported there is no staff with work restrictions. On 03/14/20 during facility tour LPA observed staff to be in good health. On 03/20/25 LPA reviewed staff schedule and did not observe any staff to be on light duty, LPA also observed that there are 3 caregivers per shift, 2 med techs per shift, and a administrator, assistant administrator, wellness coordinator, and an ALW nurse that are at the facility from 8am-5pm. Allegation: Staff do not ensure residents receive adequate incontinence care in a timely manner It is being alleged that residents’ incontinence needs are not being met. On 03/14/25 from 9:30am- 12:25pm LPA conducted Interviews with R1-R7 regarding the allegation above, 5 of 7 residents denied the allegation above, 2 of 7 residents reported they do not need incontinence care. On 03/14/25 LPA conducted a tour of the facility and conducted a call button/pull string test, LPA observed staff responded to call within 5 minutes. On 03/14/25 and 03/20/25 LPA conducted interviews with S1-S5 regarding the allegation above, 5 of 5 staff interviewed denied the allegation above and reported residents are changed as needed, and are checked every 2 hours. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. Exit interview conducted with Executive Director, and a copy of this report was provided.