complaint·April 23, 2026

It was alleged that staff do not ensure residents receive clean bedsheets . Interviews and observations revealed the bedsheets appeared clean, no staining or dried urine was observed. Interviews revealed that staff keep the bedrooms clean. Interviews with outside sources revealed that the staff is on top of cleaning. It was alleged that staff did not ensure infection control guidelines were being followed. Interviews revealed that the staff follow their infection control policy by wearing gloves and masks when needed. Interviews revealed they clean and sanitize the facility with bleach. Interviews revealed that they disinfect the walls and doorknobs to keep the facility clean and the residents safe. It was alleged that s taff do not ensure residents care plans are being followed. Interviews revealed that staff do a "good job" taking care of them. Interviews revealed that that the staff follow their care plans and they have no complaints about the staff. Interviews with an outside source revealed that the care plans that they have observed while working with the residents show that the staff are following them. Interviews with the outside source revealed they have not observed a care plan that they created not being followed. It was alleged that staff do not ensure residents medications are properly managed. Interviews revealed the residents get their medications and don't have any issues getting the medications. Interviews with an outside source revealed they have observed the staff assist the residents with medications and that the residents they work with have not had any medication issues. LPA observation showed the medications are reordered in time for the residents not to run out of medications and LPA observed documents to show when the orders were refilled. It was alleged that staff do not ensure residents receive medications as prescribed . Interviews revealed the residents get their medications and don't have any issues getting the medications. Interviews with staff revealed they manage the medications how they were trained and they give the medications according to the doctors orders. Based on the evidence obtained from interviews, the complaint allegations are unsubstantiated. The allegations may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted with Sarah Balverde, Staff and a copy of this report along with Licensee/Appeal Rights (LIC 9058 03/22) was provided at the conclusion of the visit.