complaint·October 17, 2025

...Continued from LIC 9099 R1’s medical records state three different amounts of time of how long R1 may have been on the ground before being found by family. The first stated R1 was on the ground for an unknown period. The second stated R1 may have been on the ground for more than 24 hours and the third statement stated the R1 was likely on the ground for a couple of days. During the investigation, factual information was obtained that R1 was observed at the facility four times on 12/31/2023, by staff and R2, the last time being around 7:00 PM. During these times R1 did not exhibit any signs of distress or injury. R1 was independent and did not need any assistance with his Activities for Daily Living (ADLs). Although R1 had a call button in his room. There is no corroborating information to show the facility was negligent. On the allegation: Facility did not meet resident's hygiene needs Based on interviews and records review S1 said R1 did not keep a very clean apartment, he wore the same clothes for a few days in a row, and he did not always keep up with his hygiene. R1’s Needs and Service Plan indicated that R1 was Independent and was capable of R1’s own Grooming/Personal Hygiene. S2 said that's how R1 was, he didn't want assistance and didn't allow housekeeping to enter his room to be cleaned. R1 wore repeated outfits, but he was decent looking, he didn't have any stains or rips in his clothing. R1 did not have any hygiene odors, he just wore the same clothing, which made it seem like he wasn't clean. When interviewed R2 stated that R1 was clean and never had odors or poor hygiene Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Exit interview conducted and a copy of this report provided via email.