complaint·June 18, 2021

Four (4) out of six (6) residents interviewed receive incontinent care and reported that their incontinent care needs are being met by the facility. It is alleged that the facility is serving expired food items to residents and that the ice machine has cockroaches and mold. LPA reviewed the facility pest control contract with Orkin, refrigerated storage guide, produce storage guidelines, ice cleaning machine procedure and sign off sheet. LPA made visual observations of the kitchen, food supply and two (2) ice machines. LPA learned the following information: The ice machine is scheduled to be cleaned per procedure one time per month. Sign in sheet reveals that this has been signed as being done monthly. LPA did not observe that the ice machine was moldy or any signs of cockroaches in the facility or ice maker. LPA review of stored food items did not reveal any expired or spoiled foods. The facility receives food orders three times per week and the food stores are rotated first in first out basis according to dietary services guidelines. It is alleged that the facility is not disposing trash properly and that the facility is dirty. LPA began the visit with a tour of the facility. LPA observed large trash bins with lids available in each hallway. LPA observed that the trash cans are closed and are not overflowing. LPA observed house keeping and janitorial staff tending to the facility environment upon arrival. Trash cans in resident bedrooms are not overflowing. LPA observed that the facility floors are clean and free of debris. LPA observed the bathrooms, closets, and bedrooms of selected rooms are clean. LPA learned through interviews that house keeping comes often to clean the resident rooms. LPA observed the kitchen to be clean and free of vermin. LPA Notes that other than normal wear and tearing of facility flooring there are no observable signs that the facility is dirty. In regard to administrator is not enforcing community/house rules, LPA was unable to find corroborating information to this allegation, although it was admitted that some residents do violate the house ruled. The administrator reports that house rules are enforced with violation notification, that a family meeting would be held to resolve the behavior and that if violation of the house rules continued eviction procedures would be pursued. We have found the complaint allegations are unsubstantiated, although the allegations may have happened or are valid: there is not a preponderance of the evidence to prove that the alleged violation occurred. A copy of this report is being reviewed with and furnished to the facility representative.