complaint·May 25, 2023

There was an old water stain in the main hallway ceiling near the activity room going towards the residents’ rooms but there was no water leaking. Staff #1 (S1) did confirm that there was a leak in the ceiling, but it had been repaired. The thermostats were checked in (5) five bedrooms and in the main hallway and temperatures ranged from 70 -75 degree, based on LPA observations there were no health and safety concerns at this time. Based on the interviews with staff, residents and observations of the facility inside and out the above allegations are found to be Unsubstantiated. A finding of unsubstantiated means although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted where this report was discussed and provided to Keely Miller with the appeal rights at the conclusion of the visit.