complaint·August 26, 2025

Second allegation: Staff left resident in filthy clothes. Regarding the allegation listed above LPA conducted interviews with Resident #2, Resident #3, R#4, and Resident #5, who informed LPA that facility provides laundry services as part of their agreement. In addition, R#2-5 informed LPA of not having any issues or concerns regarding laundry services. R#2-5 informed LPA that caregivers change and dress residents twice a day (morning & night), and as needed in case resident might need a diaper change or during an accident. LPA conducted a file review and observed that the facility provides laundry services to residents as part of their basic services listed on their admission agreement. LPA conducted interviews with Staff #1, S#2, and Staff #3, who informed LPA that facility provides laundry services twice a week for all residents or as needed. Third allegation: Staff did not ensure resident in care was hydrated. Regarding the allegation LPA conducted interviews with Resident #2, Resident #3, Resident #4, and Resident #5 regarding the allegation stated above and all residents informed LPA that facility provides and has water available to all residents in care. In addition, resident #2-5, informed LPA that the facility has water dispensers available throughout the facility. In addition, water is also provided to resident[s] upon residents’ request. LPA conducted interviews with Staff #1-3, regarding the allegation stated above, and staff #1-5 informed LPA that there is a total of three (3), water stations available to residents and that water is also available upon residents’ request. Furthermore, Staff #1, S#2, and Staff #3, also informed LPA that pitchers of water are provided, to assist residents when taking medication. Fourth allegation: Staff did not ensure resident in care was properly fed. Regarding the allegation LPA conducted interviews with Resident #2, Resident #3, Resident #4, and Resident #5 who informed LPA that facility provides residents with breakfast, lunch, dinner, and in between snacks, R#2-5 also informed LPA that the facility provide options from their optional menu incase the resident does not want to eat what is being served. In addition, R#2-5 informed LPA that facility has a dining area where residents eat however, caregivers will usually take residents food into resident’s room incase resident is not in the dining area. LPA conducted interviews with S#1, S#2, and S#3, LPA went over the allegation with staff and S#1-3 informed LPA that all residents are provided three meals a day and food is typically provided in the dining area or delivered to the resident depending on residents needs. Fifth allegation: Staff did not provide proper medication assistance to resident in care: Regarding the allegation stated above LPA conducted interviews with Staff #1, S#2, and Staff #3, who informed LPA that on 11/19/2023 Resident #1 was transported to local hospital for further evaluation regarding R#1 being weak and not eating. LPA requested for documentation pertaining to Resident #1 during review of record LPA discovered that after R#1 discharge R#1 was prescribed Cephalexin (Keflex 500 Mg) to take twice a day for five (5), days for UTI. Based on R#1 medication list R#1 completed treatment. In addition, during further record review LPA observed that resident was diagnosed with urinary tract infection, and weakness, no indication of dehydration was listed as a diagnosis for Resident #1. Based on corroborating evidence obtained during the course of the investigation, LPA has determined that the above allegation is Unsubstantiated. Unsubstantiated: meaning that 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 where this report (LIC 9099) was discussed, and a copy was provided to Facility Administrator Heather O’Neel at the end of the visit.