complaint·April 16, 2024

Regarding the allegation: Facility is in disrepair. it was alleged that " Place is in disrepair”. Staff interviewed denied the allegation. Staff stated that if anything is in disrepair, they put online maintenance/ work order, and the maintenance person will repair it in a timely manner. LPA toured the facility including randomly chosen residents rooms and observed that facility is in a good condition. All interviewed residents stated that everything works in their rooms and not aware of facility being in disrepair. Regarding the allegation: Facility staff do not provide meals of the quality necessary. It was alleged that "Kitchen doesn’t offer adequate food". Interviewed staff and residents denied the allegation. LPA obtained a copy of the facility menu, and reviewed facility food supply. LPA observed a variety of food available and a sufficient quality. LPA toured the facility kitchen and observed an ample supply of nonperishable foods for a minimum of one week and fresh perishable foods for a minimum of two days. LPA observed bread, grains, meats, fruits, vegetables, eggs, juice, milk, and snacks in the kitchen / refrigerator / freezer. Staff and residents interviewed stated that residents can request an alternate meal if they don't want what is being served. Interviewed staff indicated they have not received any complaints about food/meal. Interviewed residents had no concerns about quality of food/meal. Regarding the allegation: Laundry room does not have adequate supplies. It was alleged that "Laundry room isn’t equipped with supplies". Interviewed Staff denied the allegation. Health Services Director (HSD) and Staff # 4 denied the allegation stating that facility never runs out of the laundry supplies. LPA toured the laundry rooms and observed that each laundry room has a laundry detergent / soap dispenser, and they are full. Several large gallons of laundry detergent / soap observed in the main laundry room located at the first floor. LPA also observed boxes of plastic bags that staff use to separate the resident’s dirty and clean clothes, and different kind of laundry / cleaning supplies. Interviewed residents stated that they are not aware of laundry supplies at the facility. Continue 9099C Regarding the allegation: Facility does not have a qualified administrator. It was alleged that "Administrator doesn’t qualify for managing". Chad Coleman is the administrator of the facility and on this position since 04/01/24. LPA reviewed the administrator file and observed that Chad Coleman has a Bachelor’s Degree, which meets the educational requirements for the administrator. He has an experience providing residential care to the elderly since 2019. He has an active Administrator Certificate, which expired on 05/10/2025. HSD O'Neel mentioned that she also has Administrator certificate for RCFE, and she is designated person in case of administrator absence (Copy of LIC308 was provided). She has (2) years completed of college, which meets the educational requirement of (2) years and has experience in providing residential care to the elderly since 2018. She currently has an active Administrator Certificate, which expired on 12/08/2024. Based on interviews, records review and observations the investigation revealed: 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 HSD Heather O'Neel, and a copy of this report was provided.