Complaint·May 1, 2026

Allegation: #1 Staff do not ensure the facility is kept free from mal odors for residents in care. The complaint alleged that the 3rd and 4 th floors of the facility have a bad odor; the housekeeping staff does not clean the rooms on those floors. On April 28, 2026, the department interviewed the Administrator (A1), who denied the allegation and stated that the housekeepers clean the rooms once a week and as needed. On the same date, the department also interviewed two Medical Technicians (MT1 and MT2), who denied the allegation and also stated that the rooms do not smell. Additionally, the department interviewed five staff members (S1-S5), all of whom denied the claim and stated that the rooms are cleaned once a week. If a resident has an accident or spills something, the housekeeper will clean it right away. The staff members also stated that the facility has a hallway air freshener dispenser on the 2nd, 3rd, and 4th floors. The department interviewed the Maintenance staff member (M), who denied that the hallway had a bad odor. M also stated that M is on call 24/7 and will be called if anything needs to be done, and will take care of it. The department interviewed six residents (R1-R6), all of whom reported that their rooms are cleaned once a week . Reports continued on LIC9099C R6 also stated that when something was spilled, the housekeeper cleaned it right away. On April 28, 2026, the department visited rooms 107, 218, 224, 301, 308, 322, 327, 338, 405, 429, and 442; no odor was detected. During the facility tour, there were no odors on the first, second, third, or fourth floors. 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. Allegation: #2: Staff do not ensure residents rooms are kept in clean, sanitary conditions. The complaint alleged that the “housekeeper refused to clean the rooms in memory care, when residents have accidents and spills get on the floor from urine and feces.” On April 28, 2026, the department interviewed the Administrator (A1), who denied the allegation and stated that the housekeepers clean the rooms once a week and as needed. When a resident spills something on the floor, the housekeepers clean it right away. On the same date, the department also interviewed two Medical Technicians (MT1 and MT2), who denied the allegation and stated that the rooms are cleaned regularly and that, if any residents or staff members noticed anything, they would report it. Reports Continued on LIC9099C Additionally, the department interviewed five staff members (S1-S5), all of whom denied the claim and stated that the rooms are cleaned once a week. If a resident has an accident or spills something, the housekeeper will clean it right away. The department interviewed the Maintenance staff member (M), who denied that the hallway had a bad odor. M also stated that M is on call 24/7 and will be called if anything needs to be done, and will take care of it. The department interviewed six residents (R1-R6), all of whom reported that their rooms are cleaned once a week. R6 also stated that when something was spilled, the housekeeper cleaned it right away. On April 28, 2026, the department visited rooms 107, 218, 224, 301, 308, 322, 327, 338, 405, 429, and 442; no odor was detected. During the facility tour, there were no odors on the first, second, third, or fourth floors outside the hallway. 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, Austin Irwin.