Complaint·November 6, 2025

swelling. Discharge paperwork indicates R1 with cellulitis. The appraisal needs and services plan indicated that R1 had skin break down and a home health was ordered for her care. Continuous care was provided by home health as well as a physical therapy evaluation. It is alleged that staff leaves resident in wheelchair for extended periods of time. Interview with staff stated that R1 gets transferred out to their bed after lunch per R1’s request and was moved often. Staff stated that R1 gets physical therapy at the facility by an outside vendor. Records review revealed that progress notes from September and October 2024 reflect that R1 received physical therapy treatments. Resident monitoring logs for R1 reflect that R1 is moved out of the wheelchair often throughout the day. It is alleged that staff does not ensure resident's podiatry needs are being met. Interview with staff stated that R1 and residents from the facility received podiatry services at the facility by an outside vendor that would come and provide services. Interview with 5 of 5 residents indicated that a person comes and does their nails and looks at their feet at the facility. It is alleged that staff does not ensure resident's hygiene needs are being met, specifically to not being showered. Records review revealed that facility maintained a shower list for R1 and reflects that R1 received showers various times throughout the week. Interview with 5 of 5 residents stated that the staff make sure they shower at all times. Based on the information mentioned above, the Department is unable to ascertain if the allegations occurred as reported. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violations occurred; therefore, these allegations are deemed Unsubstantiated. An exit interview was conducted with the Administrator and a copy of this LIC9099 report was left at facility.