complaint·July 1, 2025

9099C-1. Staff interviews conducted on June 18, 2025 revealed that (1) of (4) staff stated that (R1) mentioned the hot water in the shower felt "scorching hot"; however, this staff was not aware of any injuries to (R1) from the hot water. The Director of Nursing stated she is not aware that (R1) complained of the water being too hot or (R1) having any injuries from the hot water. Two (2) residents were interviewed who reside in the same part of the building that (R1) does. One resident stated she is able to adjust the hot water in the shower by turning the knob. The other resident stated she did not have hot water in the shower for two days and she had to take a cold shower. This resident indicated the problem has been fixed and staff told her a hot water pipe had been broken. The Maintenance Director stated he checks the hot water temperature throughout the building "every 1-2 weeks", specifically checking the temperature on the heater. The Director explained "each wing of the building has its own water heater" and he does a "cup test to ensure the temperature is less than 120*F". The Director showed LPA the temperature log of room checks and pointed out that (R1's) room was last checked on June 13, 2025, and the temperature was documented as 112*F. The Maintenance Director stated "(R1) has not complained of any hot water concerns, and the "water temperature for the whole building is set at 120*F", and the only exception is the dishwasher which is part of the septic system". The Director added "(R1) knows me and has no problem telling me if there is a maintenance concern", adding (R1) recently "complained of a lose door knob" in their room. The Director provided specific temperatures of the (5) rooms recently tested as: 112,111,112,112 and 110*F- averaging 111*F. LPA attempted to speak to (R1) on July 1,2025; however (R1) was out of the facility. LPA checked the hot water temperature in (R1's) sink/room, with staff (S1) present, and found it measured 104.4*F. (S1) explained that (R1) is independent with showering and will place the shower knob on the hottest temperature when warming the water but then does not move the knob to lower the temperature once the water has warmed, as (R1) wants "hot water". (S1) stated she never observed burns on (R1's) skin and most residents will put the shower knob in the middle to achieve the best temperature. (S1) explained that (R1) will often blame their roommate for using water from their sink, causing the water temperature to drop. (S1) stated she has told (R1) dishes are done from 5:30 pm to 9:00 pm, which can lower the hot water temperature. *cont on 9099C-1.. 90099C-2... LPA received communication from (R1) on June 30, 2025 that the Maintenance Director had recently tested the hot water in the shower and placed strips to prevent slipping. Then the Ombudsman tested the hot water, and it was "a bit more than luke warm then", causing the Maintenance Man to adjust the water. (R1) further stated the water pressure is fine now, except for "the water pressure going up and down when someone else is using a sink or shower" and (R1) is trying to adjust their shower time to later in the evening. Based on information obtained, LPA finds the allegation to be UNFOUNDED- A finding that the allegation is unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis. Exit interview. Copy of report provided.