complaint·April 7, 2026

Allegation #1: A facility staff member who is not an appropriately skilled professional removed a fiscal impact from a resident. The complaint alleged that a resident pressed the call button in the bathroom and required assistance. A staff member at the facility, who lacked proper training, reportedly removed a fecal impact from a resident. On April 7, 2026, the department interviewed the administrator (A1), who denied the allegations and stated that the facility had never experienced such incidents. A1 also stated that no staff member by that name was employed at the facility. During the same investigation, the department interviewed the registered nurse (RN), who clarified that a physician's order is required before a nurse can remove a fecal impaction due to the risks to residents. The RN indicated that if a resident requires this procedure, the facility either contacts the physician or calls the Medical Emergency team for assistance. Additionally, an interview was conducted with the licensed vocational nurse (LVN), who confirmed that a physician's order is indeed required before performing a fecal impaction removal for any resident. If the order is not available, the facility will contact the Medical Emergency team or send the resident to the hospital. Report Continued on LIC9099C The department also interviewed six residents (R1-R6) on April 7, 2026, all of whom denied ever needing this type of procedure and were unaware of any other residents who had undergone it. Furthermore, a review of the facility roster and the Community Care Licensing Division’s Licensing Information System confirmed that no staff members by that name were listed. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation (s) did or did not occur, therefore the allegation is unsubstantiated. No deficiencies were cited. An exit interview was conducted. A copy of this report was provided to the Administrator Joan Rink-Carroll.