complaint·October 23, 2025

R1's rent was prepaid for the month of January 2024. Per R1's admission agreement signed by R1's responsible person, page 5 states "There will be no refund of any portion of prepaid rent, except in the event of death of the resident..." In addition, page 7 states "The Resident agrees to give the Facility thirty(30) day written notice of the intent to move from the Facility." R1's responsible party notified the facility in writing on January 8, 2024 that R1 would not be returning to the facility and thus not providing a 30 day notice. Regarding the allegation facility staff failed to provide a healthful environment, resulting in a resident's hospitalization, it was reported the facility is dirty and there is a lack of hygiene. LPA toured the facility grounds including 6 resident rooms, dining areas on both levels, and kitchen. LPA observed the facility to be clean and in good repair. LPA observed the front lobby being mopped during the visit. LPA interviews with seven out of seven residents stated their rooms are cleaned every day. Two out of seven residents added their rooms are deep cleaned once or twice per week. Seven out of seven residents stated their needs are met by staff. LPA interviews with five out of five staff stated resident needs are being met. Four out of five staff added they assist the residents with taking out the trash daily from their rooms. Two out of five staff added they help with cleaning up the dining room after each service. LPA reviewed deep cleaning schedule from December 4,2023 through December 29, 2023 revealing an average of eight rooms being deep cleaned per day. Based on Department interviews, record review, and observations, LPA is unable to corroborate the allegations. Therefore, the allegations are deemed to be UNFOUNDED, meaning that the allegations were false, could not have happened and/or are without a reasonable basis. Exit interview was conducted and a copy of this report was left at the facility. The schedules revealed an average of ten care giving staff working the day shift, eight care giving staff working the evening shift, and three staff working the NOC shift. In addition, there were two med techs, two nursing staff, and five additional care givers working with higher need residents listed throughout the day and evening shifts. LPA pressed a call button while in a resident room and received an immediate response through the speaker. LPA interviews with six out of seven residents stated staff responds immediately when the call button is pressed. The remaining resident stated there have been a few instances in the early hours of the morning when they have pressed the call button with no response. LPA interviews with five out of five staff stated when a resident presses the call button, the front office is notified and staff is called to check on the resident using a walkie-talkie. Based on Department interviews, record review, and observations , the allegation is therefore deemed unsubstantiated meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.