Complaint·April 17, 2026

Regarding allegation #2 – Staff left residents in soiled diapers for an extended period of time. LPA interviewed eight (8) residents. Four (4) residents stated they are not left soiled and that staff respond to their calls in a timely manner. The remaining four (4) residents reported that they either manage their own personal care or do not require the use of incontinence products. LPA interviewed six (6) staff members. All staff stated that residents are changed every two hours. Staff also reported that residents are checked hourly, and if a resident calls for assistance, they are changed immediately. Regarding allegation #3 – Staff are not meeting residents’ hygiene needs. LPA interviewed eight (8) residents. Four (4) residents stated they are on a shower schedule and typically receive two (2) to three (3) showers per week; however, if they request additional showers, staff will accommodate them. These same four (4) residents reported no issues with staff assisting with their hygiene needs. The remaining four (4) residents indicated they do not require assistance with their hygiene needs, but noted that staff provide assistance upon request. LPA interviewed six (6) staff members. All staff stated they assist residents with their hygiene needs. Regarding allegation #4 - Staff are not providing adequate food service to residents LPA interviewed eight (8) residents. All eight (8) residents confirmed that adequate food service is provided, stating there is always enough food for seconds and snacks are consistently offered. LPA also interviewed six (6) staff members. All six (6) staff confirmed that residents are provided with adequate food service. The administrator stated that grocery shopping is conducted twice a week. Regarding allegation #5 - Staff are not providing residents with activities LPA interviewed eight (8) residents. All eight (8) residents confirmed that the facility offers activities such as bingo, arts and crafts, and pen pal writing. Some residents stated that although activities are available, they prefer to keep to themselves or watch television. LPA also interviewed six (6) staff members. All six (6) staff confirmed that activities are provided; however, most residents prefer to participate primarily in bingo. Regarding allegation #6 - Staff are falsifying documents LPA interviewed six (6) residents. All (6) residents stated that, to their knowledge, staff have not falsified any documents. Some residents added that certain individuals simply prefer not to take showers. LPA also interviewed six (6) staff members. All six (6) staff stated they do not falsify documents and have not been coached to provide false information. Based on LPAs observations, record review, and interviews, the above allegations are Unsubstantiated; meaning that although the allegations may have happened or ate valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. An exit interview was conducted where this report was discussed and a copy was provided to Administrator Delcie Mucha at the conclusion of the visit.