complaint·September 11, 2025

Regarding the allegation: Staff isolates resident. It is alleged that the staff is isolating residents in their rooms and not allowing them to come out of their room due to mal body odor from the resident. (6) of (6) staff interviewed denied the allegation. (10) of (10) residents interviewed could not corroborate the allegation. Interviews with staff acknowledge a few residents with strong body odors. Staff assist residents with their Assisted daily living needs. Residents are encouraged by staff to shower on their scheduled days. Some residents refuse to shower as scheduled. Staff will attempt three times during their shift to convince the resident to shower and then change personnel and attempted to convince three times again. Records reviewed show R1's scheduled for shower twice weekly and refusing to shower. Staff communicates residents’ behaviors to next shift. Residents are never left alone; staff interact with residents when making their rounds. Family and physician are informed of residents’ behaviors. LPA observed the resident in the common area watching TV interacting with other residents. Based upon record review and interviews conducted the findings indicate that, although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. Regarding the allegation: Staff has inappropriate interaction with resident. It is alleged that the staff make shaming remarks about residents’ foul body odor during the mealtime and resident is forced to eat in their room. (6) of (6) staff interview denied this allegation. (10) of (10) residents interviewed could not corroborate this allegation. Interviews with staff acknowledged that a few residents have strong body odor. Staff encourages residents to keep up with their hygiene and are not shaming any of the residents for their body odor. Staff understands the behaviors that residents have and assists the residents with their needs and services. The residents are allowed to wander the facility freely. Staff acknowledge that some residents will make remarks towards residents with a foul odor. Staff interviewed stated they assist all residents with comfort and safety and treat residents with respect and dignity. Based upon record review and interviews conducted the findings indicate that, although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. Exit interview was conducted and copy of this report was given to Lee Ann Hefner- Executive Director.