complaint·April 3, 2025

The investigation revealed the following: regarding the allegation(s)- Facility staff are not properly addressing pest infestation in facility. It is alleged the facility has a mice and rodent infestation throughout the facility. Four (4) out of the four (4) staff interviewed did not corroborate this allegation. One (1) out of the five (5) residents interviewed corroborated this allegation. LPA inspected physical plant including kitchen, pantry, residents’ rooms, lobby, dining room, visitor bathrooms, memory care unit and outdoor patio. LPA did not observe any health and safety violations. LPA reviewed facility pest control contract services with Ecolab. According to pest control service contract reviewed, pest control services are performed monthly throughout the facility. LPA reviewed service report dated 3/11/25 (start time 9:38am- end time 10:56am), it revealed no rodent, no fly, no ant, and no cockroach activity was found during inspection. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED . Facility staff do not provide adequate food service to residents. It is alleged staff do not provide good quality food. Four (4) out of the four (4) staff interviewed did not corroborate this allegation. One (1) out of the five (5) residents interviewed corroborated this allegation. LPA inspected physical plant including kitchen, pantry, walk-in refrigerator, walk in freezers and dining room. LPA did not observe any health and safety violations. LPA observed kitchen staff wearing gloves while handling food and wearing hair nets. LPA observed perishable foods to contain labels that indicate discard date. LPA did not observe perishables to be spoiled or contain mold. Canned goods and dry foods stored in pantry contained labels that indicate discard dates. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED . Facility staff do not ensure that residents are delivered hot water throughout the facility. It is alleged facility staff do not maintain hot water temperatures in grooming areas, in the early morning hours. Four (4) out of the four (4) staff interviewed did not corroborate this allegation. One (1) out of the five (5) residents interviewed corroborated this allegation. LPA inspected random resident rooms to inspect, shared/visitor bathrooms throughout the facility and kitchen area. Water temperatures in grooming areas tested to be within 105 – 120 degree F. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED . No violations were observed or cited during this complaint investigation. Exit interview was conducted. A copy of this report was provided via email due to printer malfunction.