complaint·March 13, 2025

During the facility visit today, 03/13/2025, LPA Brown together with ED Roper observed that there's one (1) busted bulb in R1's bathroom and LPA Brown noted the the center of R1's bathroom ceiling will not turn on as well. During the facility visit today, the facility's Maintenance Director replaced the busted bulb and repaired the light at the center of R1's bathroom ceiling. Second allegation: Staff did not ensure the aluminum threshold ramp was fixed/replaced to meet a resident needs. The investigation was conducted by LPA Melody Brown which consisted of observation and interviews with relevant parties. During the investigation, LPA Brown was able to obtain sufficient evidence to support that s taff did not ensure the aluminum threshold ramp was fixed/replaced to meet a resident needs. LPA Brown interviewed R1 and R1 indicated that it's difficult for R1 to go in and out of R1's room due to the aluminum threshold ramp on the entryway of R1's room. LPA Brown interviewed four (4) of four (4) residents on wheelchair and they revealed that it's hard for all of them as well to get in and out of their room due to the aluminum threshold ramp on their entryway. Interview with S3 indicated that S3 was aware and observed most of residents on wheelchair at the facility were having difficulty wheeling themselves in and out of their room due to the aluminum threshold ramp on their entryway.During the facility visit today, 03/13/2025, LPA Brown observed R1 having difficulty wheeling in and out of R1's room. LPA Brown noted that it is a safety hazard as well due to R1's failing eyesight. Therefore, based on the evidence obtained during LPA Brown's investigation, there's sufficient evidence to prove that staff did not ensure light was fixed properly in resident bathroom (Allegation #1), staff did not ensure the aluminum threshold ramp was fixed/replaced to meet a resident needs (Allegation #2), are SUBSTANTIATED. A finding that the complaint is SUBSTANTIATED means that the allegation of staff did not ensure light was fixed properly in resident bathroom (Allegation #1), staff did not ensure the aluminum threshold ramp was fixed/replaced to meet a resident needs (Allegation #2) are valid because the preponderance of the evidence standard has been met. An exit interview was conducted where this report (LIC9099), LIC9099D and Appeal Rights were discussed and provided to ED Karen Roper.