Complaint·January 30, 2026

Training dated 2/20/25 included general policies and procedures, grooming assistance, proper storage of hygiene supplies, hydration, meal times, shower and spa room use, and protected health information. These records showed staff received training related to resident hygiene care. Per review of R1’s Physician’s Report dated 10/3/2025, R1 was assessed to be at risks if allowed direct access to personal grooming and hygiene items. R1 was also diagnosed with Alzheimer's dementia. LPA interviewed Resident (R1). R1 confirmed they receive assistance with activities of daily living, including hygiene care. R1 stated not having any issues with staff meeting their hygiene needs at this time. Three additional residents were interviewed and did not report concerns regarding staff not assisting with hygiene care. Staff on duty, (S1) and (S2), were interviewed and denied the allegation. Both staff stated residents receive assistance with hygiene as needed and as scheduled. During a facility visit on 12/10/2025, LPA observed grooming carts containing residents’ hygiene items labeled with residents’ names. Baskets with resident-specific hygiene supplies and additional facility-provided items were also observed. LPA observed resident bedrooms and noted hand soap available for resident use. Based on record review, interviews, and observations, there was insufficient evidence to support the allegation that staff are not meeting residents’ hygiene needs. Therefore, this allegation is unsubstantiated . --------------------------------------------------------------------------------------------------------------- Allegation 2: Staff do not ensure that residents receive shower services The investigation into this allegation included record review, interviews, and direct observation. The LPA reviewed Resident 1’s (R1) shower schedule and shower tracking sheets for October, November, and December 2025. Records showed R1 was scheduled to receive showers at least twice per week on Sundays and Thursdays. {2 of 3} Staff initials were documented on scheduled days, indicating showers were provided. Records also showed R1 requires assistance with parts of the bathing process, including getting in and out of the shower or tub. Per review of R1’s Physician’s Report dated 10/3/2025, R1 was assessed to be at risks if allowed direct access to personal grooming and hygiene items. R1 was also diagnosed with Alzheimer's dementia. R1 was interviewed and stated staff assist them with showers at least two times per week. R1 did not report any concerns about missing showers. Three additional residents were interviewed and did not report concerns about not receiving showers. Staff on duty, (S1) and (S2), denied the allegation and stated staff ensure residents receive scheduled showers. During a facility visit on 12/10/2025, LPA observed the common shower room in the Memory Care area, which included two shower stalls and a walk-in bathtub for non-ambulatory residents. The LPA noted a resident in the Memory Care area being assisted by staff during a shower. The LPA also observed a room where shower schedules were kept. Based on record reviews, interviews, and observations, there was insufficient evidence to support the allegation that staff do not ensure residents receive shower services. Therefore, this allegation is unsubstantiated . Note that an unsubstantiated finding means that although the allegation may have happened or valid, the preponderance of evidence standard is not met. No deficiencies were cited as a result of this visit. An exit interview was conducted with AD and a copy of this report and appeal rights were provided. {3 of 3}