Complaint·June 3, 2026

LPA reviewed a service plan for R1 dated December 18, 2025, that states that R1 is able to complete personal grooming daily, R1 is able to bathe and shower without assistance with cueing and set up assistance as needed Interviews with R1 revealed that they are alert and oriented to time and place. R1 informed LPA that they are independent and can shower on their own and will continue to shower independently for as long as they can. R1 informed LPA that the staff will offer assistance, but R1 refuses. R1 informed LPA that they try to shower 3 times a week but does not always stick to that routine. R1 informed LPA that they are able to use the restroom by themselves and the only help they rely from facility staff is medication management. Interviews with 5 of 7 residents not including R1 informed LPA that if they ask for assistance with anything, the staff will help. 4 of 7 residents informed LPA that staff will specifically assist with showers when they ask for it. 4 of 7 residents informed LPA that the staff come in a timely manner and assist whenever it is needed. 2 of 7 residents did not confirm or deny the allegations. Interviews with 6 of 6 staff revealed that R1 is independent and can shower on their own. 5 of 6 staff informed LPA that they address the concern of body odor with R1 and offer assistance that is refused. 5 of 6 staff informed LPA that there is evidence of R1 taking a shower due to the body odor going away and R1s shower being used at least once a week. 6 of 6 staff informed LPA that they do not force R1 to take a shower due to their personal rights. 1 of 6 staff informed LPA that 18 residents are in the assisted living building of the facility along with 9 residents in memory care with the rest of the residents completely independent or having a private caregiver. Interviews with Witness #1 (W1) revealed that they are concerned that the facility is not assisting with R1s hygiene needs and stated that R1 has not showered for almost a year. W1 informed LPA that they have not been at the facility to visit R1 since December of 2025. LPA reviewed staff files and observed 6 of 6 staff have updated training's on the topics of residents rights and assisting with activities of daily living. Based on information gathered and interviews conducted, the Department is unable to ascertain if the above 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 violation occurred; therefore, the allegation is deemed UNSUBSTANTIATED. An exit interview was conducted and a copy of this report was left at the facility.