complaint·July 18, 2025

LPA observed the resident census list with the shared room occupancies. The room where the mattresses were seen stacked has only one resident in care at this time. LPA observed a shared bedroom with one bed unoccupied and not being used. LPA observed a bed frame and box spring. LPA did not observe a mattress with an odor. Based on information gathered during the investigation the Department is unable to ascertain if the above 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 Khatera Bahadory and a copy of this report was left at the facility. Upon interviews with Resident #1 (R1) it was revealed that the facility staff stacked the mattresses there for a short time while they were moving residents from the first floor to the second floor due to the construction that was taking place on the first level. R1 did not recall how long the mattresses and box springs were there but stated that they were not there for a long time and have since been removed. R1 informed LPA that no one slept on the stacked mattresses while they were in the room. Upon interviews with 2 of 2 staff revealed that they placed the mattresses and box springs in the room due to needing space while moving residents from the first floor to the second floor temporarily due to the construction that would be taking place. 2 of 2 staff informed LPA that the mattresses and box springs were removed out of the resident’s room and were not stored there. AD informed LPA that since they have been working at the facility, the bed in the room where the stacked mattresses were observed has remained unoccupied with no residents using the stacked beds. LPA observed AD's personnel record that states they started working at the facility on April 1, 2025. Based on observation, interviews and information gathered during the investigation the preponderance of evidence standard has not been met, therefore the above allegation is deemed UNFOUNDED. Meaning the allegation Facility failed to provide an appropriate bed was false, could not have happened and/or is without a reasonable basis. The department therefore dismissed the complaint. An exit interview was conducted with AD Khatera Bahadory and a copy of this report was left at the facility.