complaint·October 15, 2025

Staff did not provide medication assistance to resident in care Interviews with staff indicated that they follow medication assistance to residents who are taking medications. Staff assist with making sure each resident receives the correct medication on time each day. Observations of medication logs indicated that residents are receiving their correct medications on time each day. Medication lists were logged with correct doses and amounts as prescribed by their physicians. Therefore, the allegation staff did not provide medication assistance to residents in care is unfounded. Staff did not provide proper meals to residents in care Interviews with staff indicated that there was a menu that was followed by kitchen staff for each meal. Interviews with residents indicated that they like the food that is served and that there is a good variety of food options. Observations of the weekly menu indicated that there is a variety of meal options each day with good nutritional value. Therefore, the allegation staff did not provide proper meals to residents in care is unfounded. Staff did not prevent resident from engaging in inappropriate behavior in residents' rooms Interviews conducted indicated that the staff monitor and will try to redirect residents as needed. Staff indicate in their charting/progress notes on if a resident is engaging in certain behaviors so all staff are aware. Title 22 regulations do not indicate a staffing requirement and do not require 24/7 monitoring. The facility has the appropriate number of staff to meet the residents needs and give proper supervision. Therefore, the allegation staff did not prevent resident from engaging in inappropriate behavior in residents’ rooms is unfounded. Staff did not provide shower assistance to resident in care Records reviewed indicated that staff are providing shower assistance to residents in care. Staff are documenting showers that are given and when a shower is refused after multiple attempts. Interviews conducted indicated that staff are assisting with showers and attempting more than once to give a resident a shower if they refuse the first time. Therefore, the allegation staff did not provide shower assistance to resident in care is unfounded. **Continued on 9099-C2 page** Staff did not properly report resident's incident Interviews conducted indicated staff document in each resident’s chart if there is an incident that has occurred. Staff protocol is that emergency services are called if there is a fall or unwitnessed injury and then resident’s responsible party (RP) is called to inform of incident. Records reviewed indicated that incidents with or without injury are documented in each resident progress notes and alert charting is indicated for closer monitoring. Therefore, the allegation staff did not properly report resident’s incident is unfounded. Hygiene supplies are not readily available to residents in care Interviews conducted indicated that staff are providing each resident room with the necessary hygiene supplies needed. Observations of resident rooms indicated that rooms are stocked with necessary hygiene items. Staff were also checking resident rooms for hygiene items to ensure residents had what they needed for proper hygiene. Therefore, the allegation hygiene supplies are not readily available to residents in care is unfounded. Staff left resident in care in soiled clothes for an extended period of time Interviews conducted indicated that residents are changed based on their incontinence needs and level of assistance needed. Records reviewed indicated that it is listed in the facility system the level of incontinence and what assistance is required by facility staff. Observations indicated staff assisting residents with trips to the restroom and incontinence needs as needed or requested. Therefore, the allegation staff left resident in care in soiled clothes for an extended period of time 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. Copy of report was given to facility.