complaint·August 10, 2025

Regarding: Staff did not ensure resident was adequately hydrated. It is alleged that resident was hospitalized on 9/2/due to dehydration because staff did not provide them with water and ice during a heat wave. It is also alleged, staff keep water and ice machine in the office which closes and is locked at 5:00 p.m. LPAs observations revealed, the facility has (3) water filtration systems, one in the main lobby and one on each floor which deliver cold water. At the time of inspection, both systems were found to be working properly and are accessible to residents. LPAs also observed an ice water and sweet tea self- serve dispenser which is accessible to clients 24 hours a day in the themed diner. The afternoon meal service was also observed during visit and several types of drinks like ice water, juices, coffee and milk were available for residents. Also observed during visit, caregivers delivering pitchers of water with cups of ice to resident rooms during rounds. Interviews with (10) out of (10) staff indicated that the facility provides water to residents at all times during routine rounds and upon request. Staff stated, the facility has water stations throughout the building which are always available for residents to obtain cold drinking water. Interview with S3 indicated, “Residents are provided with water and ice, 24/7. The facility has three water filtration systems which deliver cold water. Residents can have water 24/7 via the water dispensers, by getting it through their caregivers and during every meal service. Staff will never deprive residents of drinking water.” S3 further indicated that the ice box is located in the office; however, staff who distribute the ice always have access to the office. Interview with staff further indicated, if residents want ice, staff will assist by preparing ice cups and providing them to residents. The distribution of ice is handled by staff for sanitary purposes; however, residents are never deprived of getting ice. Interviews with (12) out of (13) residents indicated, they can have water any time. Residents stated, they have access to water through the three water fountains in the facility and by asking caregivers to provide water and ice. Residents also stated, they are never deprived of drinking water by staff. Interview with R1 indicated, at times, they have to wait for their ice and water to be brought to their room, but R1 knows, water can be obtained through the (3) water fountains in the facility and by requesting it from the caregivers. Record review indicated that R1 was hospitalized on 9/2/24 due to right knee pain. Record review conducted, did not indicate R1 was admitted to the hospital for dehydration. LPA observations, staff and resident interviews and record review, does not corroborate the allegation. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted with Bobbie Rodriguez, Director and a copy of this report was provided.