complaint·August 29, 2025

The 1 resident interview stated that there is “enough food” at the facility and provided confirmation that staff will offer snacks throughout the day. 1 out of 1 staff interview did not corroborate with the allegation by stating that three meals are provided to each resident daily, and snacks are also provided. LPA observed that the facility had a 2-day supply of perishable foods and 7-day supply of non-perishable foods, of which included fruits, vegetables, dairy, proteins and carbs. It was alleged that staff left residents unattended. LPA conducted 1 out of 1 resident interview, of which did not corroborate with the allegation, and the remaining 2 residents declined in wanting to be interviewed. The 1 resident interview provided confirmation that there is always a staff on duty. Per record review, facility has a staff member scheduled every day. During the tour of the facility, LPA observed that the facility is a two-level structure and observed that there is a live-in caregiver residing on the second floor at tall times. It was alleged that staff did not safeguard residents personal property. LPA conducted 1 out of 1 resident interview, of which did not corroborate with the allegation by stating that they are responsible for their own property, and the remaining 2 residents declined in wanting to be interviewed. Per record review, all three residents declined in wanting facility to conduct an inventory check-list of their belongings. 1 out of 1 staff interview stated that the facility is not responsible for the resident’s belongings. It was alleged that staff are not providing grooming assistance. LPA conducted 1 out of 1 resident interview, of which did not corroborate with the allegation, and the remaining 2 residents declined in wanting to be interviewed. 1 out of 1 staff interview did not corroborate with the allegation by stating that 2 out of the 3 current residents are able to bathe, and dress themselves, without needing assistance, of which this was confirmed by both their physician reports. Resident 1 (R1) however, is bedridden, and requires assistance wit h bathing, dressing and grooming. During the tour of the facility, LPA observed staff on duty changing and bathing R1. All residents were observed to be clean. Based on LPA’s interviews which were conducted, review of documents obtained, and observations, LPA is unable to ascertain if the allegation occurred as reported. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, this allegation is deemed UNSUBSTANTIATED. An exit interview was conducted with AD Asawadilo. A copy of this report was explained, and appeal rights were provided during the visit.. However, per record review, LPA observed that the medication log was incomplete due to some days not being filled out, despite residents being on a daily medication. Staff on duty were unable to provide confirmation to LPA if the medication was given to resident. Based on LPA’s interviews which were conducted, review of documents obtained, and observations, the preponderance of evidence standard has been met, therefore the allegation is SUBSTANTIATED. An exit interview was conducted with AD Asawadilo. A copy of this report and appeal rights were provided and explained.