complaint·May 28, 2025

Staff do not ensure that residents' rooms are clean and sanitized. Licensing Program Analyst (LPA) Cassandra Mikkelson toured the facility during the investigation. LPA reviewed documents pertinent to the investigation which indicated that resident’s rooms are being cleaned and maintained by staff. LPA reviewed work orders placed at the facility for maintenance like carpet and floor cleanings which indicated staff and maintenance teams were cleaning on a regular basis to keep the facility and resident rooms clean and sanitized. The allegation that staff do not ensure that resident rooms are clean and sanitized is unsubstantiated. Resident's rooms are malodorous. Licensing Program Analyst (LPA) Cassandra Mikkelson toured facility during investigation. LPA observed no odors in common areas and hallways. LPA toured multiple residents and observed no odors. Interviews with residents indicated that staff regularly assist with cleaning and help keep each resident’s room clean and free of odors. The allegation resident’s rooms are malodorous is unsubstantiated. Based on interviews conducted, observations, and records reviewed, the preponderance of evidence standards have not been met. Therefore, the above allegations are found to be UNSUBSTANTIATED. A finding that a complaint allegation is unsubstantiated means that, although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Exit interview was conducted with Administrator. A copy of this report was provided. Signature on these forms acknowledges receipt of these documents. Resident's toileting needs are not being met Licensing Program Analyst (LPA) Cassandra Mikkelson toured the facility during the investigation. Interviews with Resident R1, R2, R3, and R4 indicated that they were satisfied with the care they were receiving at the facility. LPA toured four (4) resident rooms which indicated clean and sanitary environments for each resident in care. Records reviewed indicated that each resident was receiving the assistance that was listed in their needs and services plans. The allegation that resident’s toileting needs are not being met is unfounded. Resident's hygiene needs are not being met Licensing Program Analyst (LPA) Cassandra Mikkelson toured the facility during the investigation. Interviews conducted with residents indicated that resident’s hygiene needs are being met and there are no complaints regarding hygiene care. Records reviewed indicated that residents are receiving assistance with hygiene needs according to their care plans. LPA toured four (4) resident rooms and observed resident rooms and bathrooms were clean with no odors. The allegation that resident’s hygiene needs are not being met is unfounded. Facility has mold Licensing Program Analyst (LPA) Cassandra Mikkelson toured the facility during the investigation. LPA toured the kitchen area where mold was alleged. LPA observed kitchen to be clean and free of visible mold. Records reviewed indicated that staff clean multiple times daily and monitor kitchen area for any potential mold hazards. Interviews conducted indicated that kitchen staff monitor for any hazards and report to management. No mold has been observed currently by staff. The allegation that facility has mold is unfounded. Based on records reviewed and interviews, LPA finds the above allegations to be UNFOUNDED- meaning that the allegations were false, could not have happened and/or is without reasonable basis. Exit interview conducted with the Administrator. Copy of report was given to facility. Exit interview was conducted with Administrator. A copy of this report was provided. Signature on these forms acknowledges receipt of these documents.