complaint·July 12, 2025

The department conducted interviews with staff #1-#5 (S1-S5) and residents #3-#10 (R3-R10) and was unable to interview R1-R2. Furthermore, the department and Nathan Boese toured the facility and inspected rooms A202, A212, A124, A129, B101, B201 and common areas. The investigations revealed the following: Allegation: Staff are not ensuring residents’ showering needs are being met. It is being alleged that staff are not assisting residents with their bathing needs. On 07/12/25, between 11:00 AM and 12:00 PM the department interviewed S1-S5. Of those interviewed, 5 out of 5 staff denied the allegation. 5 out of 5 staff interviewed stated that residents are assisted with their showering needs based on their care plan. S1 stated that showers are in accordance with their care plan, and that on average most residents have shower/bathing assistance 1-2 times per week. On 07/12/25 between 01:30 PM and 02:35 PM, the department interviewed R3-R10. Of those interviewed, 7 out of 8 residents stated they do not require assistance with showering, and 1 out of 8 residents said their showering needs are being met. 8 out of 8 residents stated that they don’t know if any residents have gone weeks without showering. 8 out of 8 residents said they are satisfied with the services provided to them. Based on observation, interviews conducted, and records reviewed, there is not sufficient evidence to support the allegation mentioned above. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. Allegation: Staff are not providing adequate housekeeping services to residents. It is being alleged that resident’s room was observed to be filthy. On 07/12/25, between 11:00 AM and 12:00 PM, the department interviewed S1-S5. Of those interviewed, 5 out of 5 staff said staff is providing adequate housekeeping services to residents. 5 out of 5 staff said resident’s rooms are cleaned once a week, and as needed. Continued on LIC9099-C On 07/12/25 between 01:30 PM and 02:35 PM, the department interviewed R1-R10. Of those interviewed, 8 out of 8 residents stated that their room is cleaned once a week. 8 out of 8 residents stated that they are satisfied with the services provided to them. On 07/12/25, the department and Nathan Boese toured the facility and inspected rooms A202, A212, A124, A129, B101, B201 and other common areas. The department observed the rooms and the facility to be clean and in sanitary condition. Based on observation, interviews conducted, and records reviewed, there is not sufficient evidence to support the allegation mentioned above. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated. The department did not observe any deficiencies during this visit, therefore no citations were issued. An exit interview was conducted with Nathan Boese, and a copy of this report is provided.