Complaint·September 13, 2021

Regarding Allegation: Staff did not ensure facility was free from pests. LPA’s interviews with Residents in Care revealed that all generally stated that they have not seen any mice within the facility. Some residents stated that they have seen one or Two cockroaches. LPA Sampled Random rooms on Floors 2, and 3 and did not observe any mice or cockroaches in any resident room, hallways, walkways or elevators. Record Reviews shows that the facility has a pest control to treat the facility on a bi-weekly basis to ensure facility is keep free of pest infestation. Therefore; Based on Lpa Interviews, Observation, Record Review the LPA finds that Although the allegation may have happened or is valid, there is not preponderance of evidence to prove the alleged violation(s) did or did not occur therefore the allegation is unsubstantiated Regarding Allegation: Staff are not refilling resident’s medication timely. LPA interview's with residents in Care stated that all are receiving their medications and have not received untimely refills. LPA interview Med Tech and Med tech stated all refills have been timely except one resident who picks up their own medication. Per Faciltys communication log dated 09/08/21, CVS pharmacy was contacted for resident refill of medication. Resident picks up own of prescriptions, due to not using facility contracted Guardian pharmacy. Cvs Pharmacy let resident know that the MD had authorized refill on 09/08/21, but would not be dispensed by the pharmacy, until 09/10/21. Medication was picked up by resident on 09/10/21. Therefore: Based on Lpa Interviews, and Record Review the LPA finds that Although the allegation may have happened or is valid, there is not preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. Regarding Allegation: Resident room has mold. Lpa along with administrator Observed room numbers 214, and 219. Administrator stated that room 214 had a leak in the bathroom from the room above, due to the water faucet being left on. The Leak ran through the bathroom ceiling fan/vent of room 214. No water damage was caused to the room. The Room Has carpet, and no water spots or damage were observed in the room by the LPA. LPA did not observe any scent of mold in the room or bathroom. LPA interviewed Residents in care, all generally stated that they did not have any water damage to their rooms, or mold. Therefore: Based on Lpa Interviews, and observation, the LPA finds that Although the allegation may have happened or is valid, there is not preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted and a copy of this report was provided. No citations were issued during this visit.