complaint·June 7, 2025

(continued from LIC 9099-A) Regarding the allegation that Staff spoke inappropriately to resident, it was alleged that S1 threatened Resident #1 (R1). LPA's interview with four (4) staff today revealed that R1's first language was not English and could be misconstrued as aggressive but that was S1's normal voice. Four (4) out of four (4) staff interviewed stated that they did not witness R1 threatening or spoke inappropriately to any resident. LPA's interview with seven (7) residents or more than 10% of current census revealed that seven (7) out of seven (7) residents did not experience or witness R1 threatening any resident. Regarding the allegation that Staff do not ensure that residents are hydrated, it was alleged that Resident #1 (R1) was screaming and needed water. LPA's record review revealed that R1 was admitted at the facility on 04/10/24 and passed away on 05/24/24. LPA's interview with four (4) staff today revealed that they always make sure that all residents have access to and provide drinking water to all residents. LPA's interview with seven (7) residents today or more than 10% of the current census revealed that seven (7) out of seven (7) residents stated that they do not have issues with drinking water and were provided by the staff all the time. Regarding the allegation that Staff did not ensure that residents' incontinence needs were met, it was alleged that R1 was screaming due to being soaked wet for a long period of time. LPA attempted to interview the staff that may have witnessed the incident but the staff no longer works here. LPA's interview with five (5) incontinent residents today between 11:30 AM to 1:30 PM revealed that five (5) out of five (5) residents were being changed regularly three (3) to four (4) times a day. Based on the information gathered during this visit and prior visit, these allegations are deemed unsubstantiated at this time. Exit interview conducted. Copy of this report issued. (continued from LIC 9099) Regarding the allegation that Staff do not ensure that residents' showering needs are met, it was alleged that residents are not getting showers as scheduled. LPA Shaw Ross' interview with three (3) staff on 05/28/25 and LPA's interview today between 11:30 AM to 1:30 PM with four (4) staff revealed that five (5) out seven (7) staff stated that due to lack of staff, they were unable to perform their duties as they should because each staff was attending to twenty three (23) to twenty six (26) residents during their shift. LPA's record review today between 9:45 AM to 11:30 AM revealed that one (1) caregiver is assigned to each floor at the Assisted Living (AL) section with a current census of forty-five (45) residents at twenty-seven (27) residents on the second floor and eighteen (18) residents on the first floor. LPA Shaw Ross' interview with three (3) residents on 05/28/24 and LPA's interview today with seven (7) residents or more than 10% of current census revealed that four (4) out of ten (10) residents interviewed stated that staff were unable to do their showers on schedule. Regarding the allegation that Staff do not ensure that residents are provided laundry services, it was alleged that residents were not getting their clothes laundered. LPA Shaw Ross' interview with three (3) staff on 05/28/25 and LPA's interview today between 11:30 AM to 1:30 PM with four (4) staff revealed that five (5) out seven (7) staff stated that due to lack of staff, they were unable to perform their duties as they should because each staff was attending to twenty three (23) to twenty six (26) residents during their shift. LPA's record review today between 9:45 AM to 11:30 AM revealed that one (1) caregiver is assigned to each floor at the Assisted Living (AL) section with a current census of forty-five (45) residents at twenty-seven (27) residents on the second floor and eighteen (18) residents on the first floor. LPA Shaw Ross' interview with three (3) residents on 05/28/24 and LPA's interview today with seven (7) residents or more than 10% of current census revealed that five (5) out of ten (10) residents interviewed stated that staff were unable to do their laundry as scheduled. Based on the information gathered during this and prior visit, these allegations are deemed substantiated at this time. Citation issued. Appeal rights discussed and given. Exit interview conducted. Copy of this report issued.