complaint·July 5, 2023

R1 was discharged from the hospital on 4/08/22 with antibiotic medication and follow up orders to return or go to the Emergency room if symptoms worsen. Although R1 had vaginal discomfort and bleeding due to a UTI, the evidence does not support Neglect/Lack of Care and Supervision leading to the Resident being sexually abused deeming the allegation of Resident was raped by another resident to be UNSUBSTANTIATED. Based off interviews and medical records, although the allegations may have happened or is valid there is no preponderance of evidence to prove the alleged violations did or did not occur. Investigation revealed that regarding the allegation Staff does not provide adequate supervision, 6 out of 9 residents interviewed believe that facility has been doing a good job of care and supervision of residents. Interviews revealed that facility is providing residents with meals, clean clothing/linen, medications and transportation. 8 out of 9 residents claim that facility is monitoring residents as they exit facility deeming the allegation Staff does not provide adequate supervision UNSUBSTANTIATED. Although the allegations may have happened or is valid there is no preponderance of evidence to prove the alleged violations did or did not occur. Based off interviews conducted investigation revealed that 6 out of 9 residents confirmed that facility has had vermin such as cockroaches inside and outside of facility grounds. During visits LPA inspected 4 resident rooms, facility dining room, facility lobby, Administrator office, laundry room, activities room, media room and first & second floor hallways and did not observe any vermin or insects. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation Facility has vermin is UNSUBSTANTIATED. An exit interview was conducted with Assistant Administrator and a copy of this report along with appeal rights was left at facility.