complaint·October 28, 2025

The investigation reveals the following: Staff interviews revealed that seven (7) out of seven (7) staff denied the above allegation. Two (2) out of two (2) staff responsible for coordinating residents’ supplies denied placing orders for residents personal incontinence supplies. S1 denied having access to supplier order system. Care Coordinator (S2) will send resident’s name list to supplier for those resident’s who need incontinence supplies. The supplier will get approval from doctors and insurance and will send incontinence supplies to facility based on quantity approved by insurance. Six (6) out of seven (7) staff stated that personal continence supplies for a resident are only used for that resident and no other resident. Resident interviews revealed that ten (10) out of ten (10) residents denied the above allegation. All residents stated that residents received their incontinence order and have access from their supply. All residents stated that they are not aware of staff using their personal incontinence supply to assist other residents. Through interviews and record reviews of residents who use incontinence supplies, ten (10) out of ten (10) residents received the supplies that were designated to residents. Based upon the investigation, resident and staff interviews, document review, and LPA observations, the licensee ensures that residents in care had their incontinence supply safeguarded and available to residents. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated . Exit interview was held with Administrator Jacqueline Cortez. A copy of the report was provided