complaint·November 27, 2023

The investigation revealed : LPA toured facility on initial visit, and on subsequent visit. LPA observed that the facility was clean and sanitary on both visits. Administrator and Staff interviewed stated that the facility is cleaned daily, and resident rooms are cleaned once per week, and more often, if needed. They stated that the housekeeping department has a cleaning schedule to ensure that all resident rooms are cleaned. Regarding the allegation that : Facility has insufficient staffing to meet residents needs. The investigation consisted of review of resident and staff roster(s), and interviews with Administrator and staff #1 - staff #4. The investigation revealed : Administrator and staff interviewed stated that the facility has sufficient staff to meet resident needs. Administrator and staff stated that both the assisted living and memory care have sufficient staff. LPA observed that the facility staff roster(s), and it appears that the facility has sufficient staffing to meet resident needs. Regarding the allegation that : Facility did not conduct reappraisal for resident as needed. The investigation consisted of review of resident #1's file, and interview with Administrator. The investigation revealed : Resident #1 lived at the facility from 2/25/23 to 3/22/23. Review of resident #1's file indicated that resident #1's pre-placement appraisal was completed. Administrator stated that the facility conducts a reappraisal after 30 days of admission, and then 6 months thereafter, or as needed. However, resident #1 did not live at the facility long enough to have a reappraisal conducted. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED . Exit interview was conducted with Mr. Castillo, and copy of report was provided.