complaint·September 16, 2025

Interviews with staff revealed residents are not left without care. Staff provide assistance with showers, change of clothes, incontinence care, etc. During the facility’s tour LPA Flores observed 9 resident’s rooms had a call light cord accessible to them, which can be pull to request assistance from staff. Most residents were observed in the common area and staff were observed assisting or responding to the residents’ needs. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED . Regarding allegation: Resident is being left unattended in soaking wet clothing with feces for extended periods of time . It is alleged resident #1(R1) is being left in clothes with feces and wet. Interviews conducted with staff revealed residents have not been found in soaking clothes or feces. Per staff residents are checked at least every two hours. Those that may soil themselves more often are checked every 30 minutes and change as needed. Per documents reviewed, needs and care plan dated: 8/15/23 R1 required maximum assistance with toileting needs and was needed to be assisted with frequent or unscheduled changes. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED . Exit interview was conducted and a copy of this report was provided.