complaint·January 22, 2026

Regarding the Allegation : Staff did not maintain facility sanitary’. This complaint alleged that the facility staff did not change R1 bed that had feces in the sheets. LPA Calderon noted staff cleaning the facility. LPA Calderon noted staff changing bed sheets. Records review indicate the following: Reviewed housekeeping schedule for (dated 01/2026) staff cleaning from 6:30 am to 3pm every day. Interviews indicate the following: S1 indicates that R1 was only in the facility for 3 days and transferred to a new facility. S1 indicates that staff clean rooms every day and change sheets 3 times per week or when needed. 7 out of 7 staff deny the allegation. R1 could not be interviewed as R1 no longer lives in the facility. 11 out of 12 residents deny the allegation. Based on interviews and supporting documentation, the preponderance of evidence standard has NOT been met therefore, the allegation of “staff did not maintain facility sanitary” is found to be UNSUBSTANTIATED. Regarding the Allegation : Facility smells malodorous. This complaint alleged that the facility common areas and rooms smelled. LPA Calderon noted staff cleaning the facility. LPA Calderon noted staff changing bed sheets. LPA Calderon did not smell any odors in the rooms or common areas. Records review indicate the following: Reviewed housekeeping schedule for (dated 01/2026) staff cleaning from 6:30 am to 3pm every day. Interviews indicate the following: S1 indicates that R1 was only in the facility for 3 days and transferred to a new facility. S1 indicates that staff clean rooms every day and change sheets 3 times per week or when needed. 7 out of 7 staff deny the allegation. R1 could not be interviewed as R1 no longer lives in the facility. 11 out of 12 residents deny the allegation. Based on interviews and supporting documentation, the preponderance of evidence standard has NOT been met therefore, the allegation of “facility smells malodorous” is found to be UNSUBSTANTIATED. Regarding the Allegation : Staff or residents smoking marijuana’. This complaint alleged that the facility staff and residents smoke marijuana inside the facility. LPA Calderon noted staff cleaning the facility. LPA Calderon noted staff changing bed sheets. LPA Calderon did not smell smoke or the smell of marijuana inside the facility. Interviews indicate the following: S1 indicates that it is against company policy for staff to smoke marijuana at work and no staff would be smoking inside the facility. 7 out of 7 staff deny the allegation. R1 could not be interviewed as R1 no longer lives in the facility. 11 out of 12 residents deny the allegation. Based on interviews and supporting documentation, the preponderance of evidence standard has NOT been met therefore, the allegation of “staff or resident smoking marijuana inside the facility” is found to be UNSUBSTANTIATED. No deficiencies cited during today's visit. An exit interview was conducted, and a copy of the Complaint Report was provided to the Administrator Joel Niblett (S1).