complaint·April 23, 2025

The investigation revealed the following: Allegation: Staff did not ensure resident’s bed was working properly. The detail of the complaint alleges that R1’s medical bed doesn’t work and hasn’t been working for three weeks and R1 had developed back sores due to not being able adjust the bed. On April 10,2025 between 9:45am and 10:15am LPA Lee interviewed Administrator (A1) Peggy Clark who denied the allegation stating that as soon as R1 complained about her bed not working, a message went out to our maintenance guy, and he fixed the bed that day. On April 10, 2025, between 11:00am and 2:00pm LPA Lee interviewed 3 staff regarding the allegation and of those interviewed 3 out of 3 staff denied the allegation stating that when R1 reported that the bed was not working, it was fixed the same day. On April 10, 2025 between 2:00pm and 3:00pm, LPA Lee interviewed 3 residents and of those interviewed 3 out of 3 residents stated that problems in the facility are usually addressed right away. On April 10, 2025, LPA inspected R1’s room and observed that the bed was operational as A1 demonstrated the bed was working by moving the head and feet sections in an up and down motion with the motor control. On April 23, 2025, LPA Lee interviewed R1 who stated that the bed is working fine and says that there is no problems with the bed. R1 informed LPA that there are no issues with R1's back as there are no sores on R1’s back as reported in the complaint. On April 23 2025, LPA obtained and reviewed a copy of R1’s body check (dated 4/19/25) which indicated no sores of any kind on R1’s back as reported in the complaint. Based on the information gathered, there is insufficient evidence to support the stated allegation. Page 2 of 3 Allegation: Staff did not ensure resident’s electrical outlet was fixed properly. The detail of the complaint alleges that the electrical outlet blew out has not been working for 3 weeks. On April 10,2025 between 9:45am and 10:15am LPA Lee interviewed Administrator Peggy Clark who denied the allegation stating that as soon as R1 complained about the electrical outlet by the bed not working, a message went out to our maintenance guy, and he fixed outlet that day. On April 10, 2025, between 11:00am and 2:00pm LPA Lee interviewed 3 staff regarding the allegation and of those interviewed 3 out of 3 staff denied the allegation stating that when R1 reported that the electrical outlet in the room was not working, it was fixed the same day. On April 10, 2025, LPA inspected R1's room and observed that the the electrical outlet was working. On April 23, LPA interviewed R1 who stated that the outlet is working. Based on the information gathered, there is insufficient evidence to support the stated allegation. Although the allegations above 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 allegations are UNSUBSTANTIATED No deficiencies were cited for the above allegation. Exit interview was conducted. A copy of this report was provided to Peggy Clark, Administrator.