complaint·December 16, 2025

The investigation revealed the following: Allegation: “Staff does not ensure facility is kept clean, safe, and sanitary at all times”, it is being alleged that the on 12/08/2025 the facility roof was cleaned, and due to that debris and dust blew into the hallways and rooms which caused residents to have breathing problems. Interviews conducted with R1 to R11 revealed the following: 11 out of 11 residents denied the allegation. Interviews conducted with S1 to S7 revealed the following: 7 out of 7 staff denied the allegation, furthermore, staff indicated that on 12/08/2025 the facility did not clean the roof. Observations on 12/16/2025 revealed the following: A tour of the facility was conducted, and debris and dust were not observed in community rooms, dining rooms, hallways, and rooms. Rooms 201, 203, 204, 205, 208, 209, 212, 214, 215, 216, 217, 218, 220, 235, and 236 were observed to be clean without debris and dust. Records reviewed of Unusual Incident/Injury Reports (UIR) from 12/2025 revealed the following: There were no UIRs that indicated that the facility cleaned the roof and/or residents having difficulty breathing. Based on the department’s interviews, observations, and records reviewed this allegation is unsubstantiated. 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, therefore the allegation is unsubstantiated. No deficiencies were cited. An exit interview was conducted, and a copy of this report was left with the Administrator, Joel Niblett.