complaint·October 21, 2024

CONTINUED FROM FORM LIC9099 During the present visit, LPA requested and obtained the current facility census and unit assignments, in addition to the list of residents for whom cash resources were being safeguarded due to the facility having been designated as the social security payee for the residents. Other residents are confirmed not to safeguard cash with the facility. One staff interview was conducted with facility administrator while twelve resident interviews were attempted or conducted. Regarding the allegation that Staff do not ensure that the facility is maintained sanitary , the following has been concluded: Based on observation conducted during two facility visits, interviews with housekeeping staff and residents, it was determined that regular housekeeping services were being provided to residents throughout the building in a satisfactory way. Excessive wear-and-tear observed in some localized areas is scheduled to be addressed by the ongoing facility remodel which was observed and verified to be continuing during both facility visits. Regarding the allegation that Staff did not assist resident with arranging transportation for medical care , the following has been concluded: While some residents decide to use transportation provided by relatives, friends or health insurance, all residents interviewed are aware of the availability of a transportation service provided by the facility. Use of the service was verified to happen during interviews. Regarding the allegation that Staff do not ensure that residents are served water free from contamination , the following has been concluded: Water jugs are placed on dining tables prior to the lunch service being initiated. However, the presence of condensation on the jugs seen during both visits evidences that the water is poured in the pitchers just shortly before the meal service, precluding the possibility of contamination. Regarding the allegation that Staff do not monitor a resident for change in condition , the following has been concluded: According to multiple residents interviewed during the present facility visit, timely and regular check-ins are being conducted by facility staff throughout the daytime and nocturnal shifts. As a result, the allegations are found to be Unsubstantiated, meaning that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove or refute the alleged violations occurred. An exit interview was conducted and a copy of this report was provided to a facility representative. CONTINUED FROM FORM LIC9099 During the present visit, LPA requested and obtained the current facility census and unit assignments, in addition to the list of residents for whom cash resources were being safeguarded due to the facility having been designated as the social security payee for the residents. Other residents are confirmed not to safeguard cash with the facility. One staff interview was conducted with facility administrator while twelve resident interviews were attempted or conducted. Regarding the allegation that Staff do not ensure that residents' incontinence needs are met , the following has been concluded: Based on interviews and records reviewed conducted during the investigation, multiple residents reported that while timely and regular checks were being conducted on residents diagnosed with incontinence of bowel and/or bladder, occasional requests for assistance went unattended for multiple hours in multiple instances on the night time shift. Administrator stated that staffing had been increased to ensure this did not occur anymore. As a result, the allegation is found to be Substantiated, meaning that the preponderance of evidence standard has been met. A type B citation is cited on an attached form LIC9099-D and cleared during the present visit. An exit interview was conducted and a copy of this report and appeal rights were provided to a facility representative.