complaint·October 6, 2025

On 10/6/2025, LPA conducted a second attempt to interview R#1 LPA went over the allegation with R#1 and R#1 informed LPA that the last time resident showered was a few hours ago. R#1 informed LPA that R#1 likes to shower independently and does not want to be helped or forced. LPA conducted a bathroom inspection LPA observed two bath towels hanging on towel bars LPA also observed that both towels appeared to be damp and used in addition, LPA observed a toothbrush and toothpaste in R#1 bathroom. Second allegation: Staff do not ensure residents are provided with fresh clean linens. Regarding the allegation LPA conducted a room inspection in R#1 room during the inspection LPA observed R#1 room to be clean, and free of odors. In addition, during the inspection LPA observed that R#1 linens along with pillowcases were clean and free of odors. LPA conducted an interview with S#2 who informed LPA that R#1 receives laundry services once a week and as needed as part of R#1 care plan. Third allegation: Staff are not providing enough supervision to prevent self-harming behavior. Regarding the allegation LPA conducted an interview with S#2 who informed LPA that when a Pre-appraisal was conducted for R#1 that R#1 already had a behavior of pulling of the hair. In addition, S#2 informed LPA that R#1 responsible party informed facility about R#1 behavior. S#2 informed LPA that staff cannot prevent or stop R#1 from the pulling of the hair behavior as R#1 displays the behavior when R#1 is alone in their room. S#2 informed LPA that anxiety medication was prescribed however, family does not want to move forward with anti-depressant medication for R#1. Fourth allegation: Staff are not dispensing medication as prescribed. Regarding the allegation LPA conducted a walkthrough of R#1 room during the walkthrough LPA observed R#1 sleeping in addition, LPA observed a set of clothes that was placed next to R#1 bed in addition, LPA observed a pair of compression socks sitting on top of R#1 clothes. S#1 informed LPA that a set of clean clothes along with resident compression socks are always placed next to resident bedside. LPA went into resident’s bathroom and LPA did not observe a medicated shampoo to be in R#1 shower. S#1 informed LPA that because R#1 shampoo is medicated that the shampoo needs to be stored in med-room and dispensed by med team. LPA observed a refusal log and S#1 informed LPA that R#1 medicated shampoo was issued for five-weeks, and R#1 refused to utilize shampoo. S#1 informed LPA that a new order needs to be issued for resident. Based on corroborating evidence obtained during the course of the investigation, LPA has determined that the above allegations are 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 Julie Dion at the end of the visit.