complaint·January 13, 2026

Regarding the allegation " Staff did not meet resident's hygiene care needs resulting in a unknown skin condition to resident in care.", it is being alleged that a resident is suffering from a "burn and peel" on their face. Interviews revealed that all five staff (S1-S5) and all five residents (R1-R5) have not agreed the allegation has taken place. Record reviews revealed that residents' care plan and service logs align and no discrepancies were observed. Based on record reviews and interviews conducted, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the above allegation has been Unsubstantiated. Regarding the allegation "Staff does not ensure that resident's dental hygiene needs are being met.", it has been alleged that a resident was observed with dirty teeth. Interviews revealed that all five staff (S1-S5) and all five residents (R1-R5) have not agreed the allegation has taken place. Record reviews revealed that for residents' care plan indicating full-assist with brushing teeth do match their service logs. Futhermore, staff have indicated that they can easily tell those who have not brushed their teeth and when noticed, prompting and assisting with brushing has become the normal pattern. Based on record reviews and interviews conducted, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the above allegation has been Unsubstantiated. Regarding the allegation " Staff left resident in soiled clothing.", it is being alleged that a resident was observed in dirty clothing on multiple occasions. Interviews revealed that all five staff (S1-S5) and all five residents (R1-R5) have not agreed the allegation has taken place. Furthermore, staff three (S3) stated, "If we see a resident wearing anything soiled, we make sure to swap their clothing." Based on record reviews and interviews conducted, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the above allegation has been Unsubstantiated. There have been zero (0) deficiencies cited during today's visit. An exit interview was held with Tracey Mallaret and a copy of this report has been provided.