complaint·May 10, 2025

Regarding allegation: Staff left residents in soiled bedding or briefs. LPA Wesley Interviewed 8 residents who said they are never left in soiled bedding or briefs and LPA Wesley interviewed Staff #1 who said she ensures staff meets the schedule for changing the residents briefs which is every two hours or as needed, depending on the residents level of care. Staff #1 said when a resident takes their shower their bedding is changed, some residents require more changes than the other depending on how often the bed is wet. Regarding allegation: Staff did not make sure resident’s restroom was clean. LPA Wesley interviewed staff #1 who said the residents rooms are lightly cleaned daily, they caregivers take the trash out, dust and clean the residents bathroom. LPA Wesley interviewed residents 1-8 and they did not have a problem with their bathroom being cleaned or their trash being emptied by the staff or hospice providers. One resident said she takes out her own trash to have something to do. Staff #1 said she hasn't heard any problems with the staff not doing their duties. Regarding allegation: Staff did not answer residents call pendants in a timely fashion. LPA Wesley toured 2 of the resident cottages and pressed the pendants of the residents neck and the residents night stand, and the staff answered it within a decent time frame. LPA Wesley interviewed 8 residents who said their call pendants are answered, sometimes it could take longer depending on what they are doing for other residents. LPA Wesley asked what's the longest time you had to wait, and it was under 20 minutes. LPA Wesley asked staff do they answer call pendants in a timely manner and they answered yes it is usually 30 minutes or less depending on what the resident is calling for. Based on interviews conducted and records reviewed, there is insufficient evidence to support the allegations. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. A copy of the LIC 809/809C was given during the exit interview.