complaint·January 30, 2024

Per documentation review, facility offers three meals a day and two snack times, and that the facility dining room hours have an “All Day Dining” from 7:00am-7:00pm. Meal times goes as follows: breakfast (7:00am-10:00am), snack (10:00am), lunch (11:30am-1:00pm), snack (2:00pm) and dinner (4:30pm-6:30pm). It was alleged that staff do not ensure that client's hygiene needs are met. 3 out of the 4 resident interviews did not corroborate with the allegation by stating that hygiene needs are met. 3 out of the 3 staff interviews conducted, did not corroborate with the allegation by stating that if a resident requires assistance per physician report, there will be a caregiver assigned to that resident to assist with bathing on a weekly basis. 3 out of the 3 staff interviews also stated that if a resident refuses staff assistance, or refuses to bathe, then staff will document the resident refusal. Per physician report of resident 1 (R1), R1 is able to bathe, dress, and groom self. R1 verified via interview that R1 will shower on their own, and does not need assistance. It was alleged that staff do not keep client's room clean or sanitary. 4 out of the 4 resident interviews did not corroborate with the allegation by stating that the staff do a good job at ensuring rooms are clean and sanitized. 3 out of the 3 staff interviews conducted, did not corroborate with the allegation by stating that housekeeping and maintenance are regularly scheduled for each resident to conduct cleaning, sanitizing, repairs, and laundry, however if a resident refuses, then staff will document it. LPA conducted a tour of R1’s room and observed that the room was clean, no hazards observed, and had clean furniture and bed sheets. LPA also did not observe any stench in room, or rotten food. R1 also specified that housekeeping cleaned on 1/29/24 and will come often to assist R1 with any cleaning and laundry that needs to be completed. 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, these allegation are deemed UNSUBSTANTIATED. An exit interview was conducted with Community Relations Director – Charles Luetto. A copy of this report was provided and explained.