complaint·April 2, 2026

Allegation #1: Staff failed to meet the resident’s hygiene needs. The complaint alleged that the facility failed to ensure that the resident's (R1) personal care hygiene needs were met. The residents are decent but unclean. On 04/02/2026, between 8:30 am and 10:15 am, the department interviewed the Administrator (A1), who denied the allegation. A1 stated that three residents (R2, R4, and R6) need help showering, and the Veteran Administration Home Health Aide (AVHHA) comes to the facility to assist them three times a week. However, R3 and R5 are independent and can shower themselves. The staff helps all residents with daily hygiene. The department also interviewed another Administrator (A2), who denied the allegation and stated that staff assist residents who need help, even if they do not ask. Since residents cannot be forced if they refuse, staff continue to let them know they are available to help. One staff member (S1) was also interviewed; S1 denied the allegation and stated that staff help all residents with hygiene unless they refuse. During the visit on October 19, 2023, the department interviewed residents (R1), who denied the allegation and stated that R1 showers whenever R1 wants. On April 2, 2026, the department also interviewed five residents (R2-R6), all of whom denied that staff assisted them with hygiene needs. They also stated they have the right to refuse any help if they wish. On the same day, the department reviewed the facility records for the (AVHHA) schedule, which showed that (AVHHA) visits the facility three times a week. The department then toured the facility and found a storage area full of hygiene products, as well as a bathroom stocked with hygiene products for residents to use. Although the allegation may have happened or is valid, there is not a preponderance to prove the alleged violation (s) did or did not occur, therefore the allegation is Unsubstantiated. Allegation #2: The facility pool is unclean. The complaint claimed that the backyard swimming pool had green, moldy water and was uncovered. On April 2, 2026, between 8:30 am and 10:15 am, the department interviewed the Administrator (A1), who denied the allegation and said that the facility is no longer using the pool. The department toured the facility inside and outside; it observed a lock on the backyard where the pool is located and noted that the pool was empty and clean. The department interviewed the Administrator (A2), who stated that the facility is in the process of covering the pool because they do not plan to use it. The department also spoke with five residents (R2-R6), who said they do not go outside to the pool because it has no water, and the gate is closed. Although the allegation may have happened or is valid, there is not a preponderance to prove the alleged violation (s) did or did not occur, therefore the allegation is Unsubstantiated. Allegation #3: Staff is not meeting the resident’s medical needs. The complaint alleged that the facility failed to follow up on medical appointments. The department interviewed the Administrator (A1), who denied the allegation and stated that the social worker schedules the doctor appointments and that the staff takes residents to those appointments. We have a doctor scheduled to see each resident. Sometimes, we receive instructions from the doctor regarding follow-up visits. The department also interviewed the Administrator (A2), who denied the allegation and stated that both A1 and A2 take residents to their appointments. The department interviewed five residents (R2-R6), all of whom said that staff usually take them to their doctor appointments or social worker visits. R3 mentioned they are leaving now for a doctor's appointment. During the visit on October 19, 2023, residents (R1) denied the allegation, stating that they attend all of their doctor appointments. Additionally, during that visit, the department interviewed Advanced Medical Support (AMS) about resident (R1), who confirmed that R1 did not miss any scheduled appointments and noted that one appointment was rescheduled for the same day with a virtual appointment instead of an in-person visit. On April 2, 2026, the department reviewed the facility’s scheduled doctor appointments for all residents, including the dates they attended and their upcoming appointment dates. 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, and a copy of the report was provided to Administrator Helen Ramirez.