complaint·August 21, 2025

(Continued from LIC 9099) housekeepers, care staff, and med techs report R1’s behaviors of urinating and having bowel movements were frequent. Facility progress notes documented that on December 16, 2024 R1 had a bowel movement (BM) in the dining area and R1 spread BM on table and floor. It is charted that staff cleaned R1 and the cleaning area that was soiled. On December 17, 2024 R1 was assisted to the toilet and seated by staff but R1 stood up and wandered away while urinating on the floor. Staff interviews report accidents were not small and during one incident, it took the housekeeper over an hour to clean the area. R1’s behavior was also charted on December 21, December 30, January 4, January 5, 2025 . Staff stated accidents were always cleaned up but the frequency of R1’s behavior and the areas where incidents occurred, such as R1’s room, carpet, bathroom, and common areas, may have not been attended to. Staff stated they constantly redirected the resident to the toilet but R1 was combative with staff or refused to go. It is unclear when the feces and urine incidents occurred in R1's bathroom, and when staff would come to clean the area. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation that Staff did not properly maintain a resident's bathroom while in care is Unsubstantiated. A Technical Violation will be given. An exit interview was conducted with Cynthia Figueroa, Executive Director (ED) and a copy of the report, the LIC 9102-TV and files reviewed LIC 859 and LIC 811 were given at the time of the visit.