complaint·June 19, 2025

(continued from 9099) LPA interviewed six (6) staff and three (3) of six (6) staff members denied the allegation. Three (3) staff members stated that occasionally they will discover resident in soaking wet diapers. One (1) staff member stated that is not very often and that it is just one resident who may be too heavy and burdensome to tend to. LPA interviewed four (4) witness, two (2) are family members and all four (4) witness stated that witnesses do not have any evidence of residents left in wet diapers. One (1) witness stated things have improved since witness verbally brought the issue to staff and stated that witness has no issues with the care at facility at this time. LPA did not observe any residents with bad odor and all the residents. LPA observed residents were clean and in clean clothes during the visit. LPA reviewed the May 2025 Electronic Charting Program (ECP) for three residents in question, and it showed that staff are making their rounds, and providing residents hygiene and bathing services and documenting it on the ECP. LPA observed the rooms to be very clean. LPA observed staff providing care and activities for residents during the visit. There is not sufficient evidence to substantiate this allegation. Allegation: Staff did not ensure resident's showering needs were met. It is alleged that residents are not being showered as required. LPA interviewed eight (8) residents, and all eight (8) residents were not able to corroborate the allegations. LPA interviewed six (6) staff and five (5) of six (6) staff denied the allegations. All staff stated they provide showering for all residents unless they refuse. LPA interviewed four (4) witness and four (4) of four (4) were not able to corroborate the allegation. LPA reviewed the May 2025 Electronic Charting Program (ECP) for three residents in question, and it showed that staff are making their rounds, and providing residents hygiene and bathing services and documenting it on the ECP. LPA observed all residents to be clean and did not omit and body odor. Two (2) residents stated that they bathe themselves. LPA observed that the showers in most rooms inspected were recently used as there was current water residue left behind in the shower and adjacent floor that provided evidence that residents are being showered. There is not sufficient evidence to substantiate this allegation. 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. An exit interview was conducted with the Executive Director, Suby Kumar. A copy of this report, along with the appeal rights, was provided.