complaint·November 21, 2025

On 11/17/25 LPA Flores interviewed 2 staff over the phone and requested medication sheets for July-September 2023, for 9 residents. On 11/19/25 LPA Flores conducted a subsequent visit and interviewed 4 residents. The investigation revealed the following: Regarding allegation: Staff are not mitigating the spread of infectious outbreaks in the facility. It is alleged several residents have an infectious skin disease and facility administration is not providing proper mitigation. Interviews with staff revealed upon an infection outbreak staff follow their protocol. Per administrator and wellness director upon questionable scabies cases, residents may be sent to obtain a diagnosis with physician, the resident is isolated, linens are clean daily, treatment is given as directed, and staff are to use proper PPE which includes gloves and gown when providing care. Interviews with staff confirmed the facility’s protocol described by administrator during a scabies outbreak. Interviews with residents revealed staff have been observed using preventive measures to prevent the spread of an infectious disease. Document review revealed between July-August of 2023 there were 7 residents receiving treatment for scabies. Although there were several receiving treatment there is not enough evidence to say the facility had a scabies outbreak and staff were not using preventing measurements to prevent the spread. Therefore, the allegation is unsubstantiated. 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: Staff do not ensure sufficient supplies are available . It is alleged PPE supplies are not being provided for staff to provide care to residents with infection disease. Interviews with residents revealed staff have been observed using gloves while providing care and when necessary other PPE supplies. Interviews with staff revealed facility has not run out of PPE supplies during an outbreak. During today’s visit LPA reviewed PPE supplies and observed mask, gloves, some gowns. 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. (CONTINUED ON LIC 9099C) Regarding allegation: Staff are drinking on the facility’s premises. It is alleged management team is consuming alcohol in the premises. Interviews with residents revealed staff have not been observed under the influence of alcohol. Interviews with staff revealed staff have not consumed alcoholic beverages during holiday parties. LPA did not observed or smell staff under the influence during the visit. 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 with Shannon Moore and a copy of this report was provided.