complaint·June 3, 2025

The investigation revealed the following: regarding the allegation “Staff not meeting resident’s grooming needs.” It is alleged facility staff do not assist R1 with grooming needs. Review of R1’s physician’s report revealed R1 can bathe and dress/groom themselves with staff assistance. Review of R1’s Documentation Survey Report for May 2025, did not corroborate this allegation. Staff interviews conducted did not corroborate this allegation. Resident interviews conducted did not corroborate this allegation. R1 was not present at the facility during LPA Ramirez’s visit and therefore was not interviewed. 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 . “Staff not emptying resident’s commode.” It is alleged facility staff are not emptying R1’s commode. Review of R1’s physician’s report revealed R1 can tend to their own toiletry needs with staff assistance. Review of R1’s Documentation Survey Report for May 2025, did not corroborate this allegation. Staff interviews conducted did not corroborate this allegation. Resident interviews conducted did not corroborate this allegation. R1 was not present at the facility during LPA Ramirez’s visit and therefore was not interviewed. 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 . “Staff not administering resident’s medication as prescribed.” It is alleged facility staff are not administering R1’s fungal medication. Review of R1’s Physician’s Report revealed R1 is unable to administer their own medication and store their own medication. Review of R1’s Physician’s Order revealed, on 05/12/2025, R1’s primary physician ordered Nystatin Powder 100000 UNIT/GM to be applied to affected areas two times a day. Review of R1’s MAR for May 2025 revealed, facility staff began administering Nystatin Powder on 05/13/2025, according to R1’s physician’s order. Staff interviews conducted did not corroborate this allegation. R1 was not present at the facility during LPA Ramirez’s visit and therefore was not interviewed. 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 for this investigation. Exit interview was conducted. A copy of this report was provided via email.