Complaint·July 15, 2025

(CONTINUED FROM LIC 9099) A records review of R1’s physician's report, hospital records, and pre-placement agreement revealed that R1 is not incontinent but does require temporary, continuous bed care due to leg surgeries and injuries. R1 requires staff assistance with bathing, dressing, grooming, and toileting. During interviews, R1 stated that staff were assisting with care needs; however, it was noted that two caregivers are needed to assist with incontinence care. R1's interview confirmed that a home health care provider is responsible for managing the leg brace  and skin care.   Interview with R1's home health care provider, as well as the licensee revealed that physical therapy and removing leg braces for skin cleaning will be addressed through R1's home health care providers.  Staff Records and staff interviews revealed that one staff member is designated to cook and clean,  and is not responsible for direct care duties.  Further  review of training documents confirmed that staff have completed the required CCL training. Interviews with care staff demonstrate an understanding of resident care training protocols. Based upon the information obtained during the investigation it is determined that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the violation occurred and is therefore UNSUBSTANTIATED. An exit interview was conducted with Licensee/Administrator Penelope Pankey A copy of this report was provided and their signature on this report confirms receipt.