complaint·October 16, 2023

It is alleged that staff do not ensure the residents’ room is clean and sanitary. During interviews with housekeeping staff, it was discovered that resident rooms are cleaned several times a week. For some residents this service is optional, while other residents’ rooms are routinely cleaned. During a visit to the facility, LPA observed a refrigerator with concerns for cleanliness, a water-stained ceiling tile. LPA also observed and later confirmed that R3 does not utilize the refrigerator in the room. The stained ceiling tile was replaced. All matters of concern were addressed at the time of the visit. It is alleged that staff do not ensure the resident’s call light works. During staff interviews and observations, LPA learned that when the call light is pulled, it notifies the staff in the office. Each time this occurs, office staff document when the call light was pulled, what room and what staff responded. LPA reviewed call light response logs for 5/4/23 through 5/8/23. No entry in the log indicated that a call light in the resident’s room was triggered. According to the facility’s maintenance logs, there is no indication that the call light is not functional. Based on information above, these allegations are UNSUBSTANTIATED. A finding of UNSUBSTANTIATED means although the allegation 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 with facility representative; this report was reviewed, discussed then provided.