Complaint·November 13, 2024

Five out of five resident interviews indicated that their diapers are changed 2-3 times per day or as needed. Resident #2 (R2) indicated that R2’s diaper is changed sometimes seven times a day. CDSS Staff did not observe the smell of incontinence in the facility. Regarding the allegation “ Staff left resident in soiled diapers for an extended period of time ," based on interviews and observations, the Department found no evidence to support the allegation mentioned above. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, as a result, the allegation is Unsubstantiated. No deficiencies cited for this allegation. Allegation: Regarding the allegation "Staff did not ensure facility was free of pests,” it is being alleged the facility has cockroaches and rodents. Three out of three staff interviews indicated they have not seen any vermin or rodents in the facility. The Administrator and the Licensee indicated that the facility has not received any vermin or rodent complaints. Five out of five resident interviews indicated they have not seen any roaches in the facility. CDSS did not observe evidence of vermin nor pests during the facility tour. Regarding the allegation “Staff did not ensure facility was free of pests," based on interviews and observations, the Department found no evidence to support the allegation mentioned above. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, as a result, the allegation is Unsubstantiated. No deficiencies cited for this allegation. Allegation: Regarding the allegation "Staff did not notice residents change in condition,” it is being alleged staff left Resident #1 (R1) unresponsive for an hour and a half. Interview with Staff #3 (S3) indicated S3 observed R1 being unresponsive. Interview with the Licensee indicated S3 informed Witness #2 (W2) of R1’s change of condition. Continue to LIC9099-C. Regarding the allegation “Staff did not notice residents change in condition," based on interviews, the Department found no evidence to support the allegation mentioned above. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, as a result, the allegation is Unsubstantiated. No deficiencies are being cited. Allegation: Regarding the allegation "Staff raised the rent without proper notification,” it is being alleged that Resident #1’s (R1) rent increased from $4000 to $7000. Record review revealed R1’s admission agreement for Senior Manor Care III as of 04/16/2024 includes a monthly rate at $7,500. Interview with the Licensee indicated R1 moved into a small room (#3) at Senior Manor Care III for about three days but R1 wanted a larger private room (#4); thus the monthly rate increase from $4,200 to $7,500 (included incontinence). Licensee indicated that the current rate is based on the size of the room and the new charge did not go into effect until May 2024, but the correct rate is reflected in the admission agreement. Administrator indicated that the admission agreement was signed after R1 moved into the larger room. Monthly statements revealed a $4,200 (April 2024) charge and $7,500 (May - October 2024) charges. Full payments were made until September 2024. Five out of five resident interviews indicated they have not experienced a rate increase. Regarding the allegation “Staff raised the rent without proper notification," based on record reviews and interviews, the Department found no evidence to support the allegation mentioned above. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, as a result, the allegation is Unsubstantiated. No deficiencies are being cited. Continue to LIC9099-C. Allegation: Regarding the allegation "Staff did not provide resident with the admission agreement,” it is being alleged that Resident #1 (R1) does not have a signed admission agreement. Record review revealed that Witness #1 (W1) is listed as the responsible person for R1 as of 04/16/2024, W1’s initials are recorded throughout the admission agreement and the agreement is signed by the resident’s responsible party. Interview with the Licensee indicated that W1 signed the admission agreement and received a copy. CDSS Staff observed the initials on admission agreement for Location #2 and Senior Manor Care III agreement are similar. Regarding the allegation “Staff did not provide resident with the admission agreement," based on record reviews, interviews, and observations, the Department found no evidence to support the allegation mentioned above. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, as a result, the allegation is Unsubstantiated. No deficiency was cited for this allegation. An exit interview was conducted and a copy of this report was provided to the Licensee Angelique Gradney.