complaint·August 27, 2025

(Continued from LIC9099) The Department interviewed R1 and they stated they do not require assistance with toileting or showers, reporting no concerns with staff and asserting they manage their own hygiene. However, their statements conflicted with staff interviews and documentation, which indicated that R1 does require assistance and has a history of refusing hygiene care. Staff confirmed that R1 was placed back on the facility’s shower schedule following her discharge from hospice. They reported that R1 frequently refuses showers and incontinence care, often stating she has already bathed or can manage independently. No staff reported observing wounds, skin breakdown, or other signs of neglect. An outside source (OS1) confirmed that R1 had been receiving hospice services, during which hospice staff provided showers. OS1 reported no hygiene concerns during their most recent visit. Interviews with other residents on R1’s floor revealed no concerns regarding hygiene or incontinence care. Residents reported receiving appropriate assistance, and no one observed others in soiled briefs or with poor hygiene. The department also observed adequate hygiene supplies in the shower rooms. A review of the shower schedule confirmed that R1 was assigned designated shower days consistent with facility policy following her hospice discharge. Based on interviews, and records review and department observations there is not a preponderance of evidence to prove alleged violations occurred, therefore the allegations are unsubstantiated. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were provided to Administrator Lynn Torino whose signature below confirms receipt of these rights. [See LIC 811 Confidential Names List to identify Resident #1]