complaint·July 8, 2025

An interview with 7 residents were conducted. 6 out of 7 residents report no issues with getting assistance in a reasonable time period when using their call lights. 1 out 7 residents were unable to answer the question due to medical reasons. A review of the facilities call button log from May-June 2025 show an average time of 5 minutes and 2 seconds. Based on the information gathered, it is unclear if the facility staff are not answering residents calls for assistance timely. Allegation: Facility staff left resident soiled for a long period of time It was alleged that the facility staff left residents soiled for a long period of time. During the course of this investigation, LPA Pascua conducted interviews with staff, residents and a family member. 7 of 7 residents interviewed all stated the staff assist them their needs when required, including their incontinence needs. The family member of the residents that was interviewed had no concerns regarding the care being provided at the facility. LPA Pascua conducted unannounced inspections on 3 separate occasions and did not detect incontinence odors. Based on the information gathered, there is not sufficient evidence to show that the facility staff left the resident soiled for a long period of time. Allegation: Resident rooms are not clean and sanitary It was alleged that the staff does not keep the facility clean and sanitary. During the course of the investigation, LPA Pascua conducted site visits and inspected the facility on 4 occasions. No unsanitary conditions were observed. LPA Pascua also interviewed a family member, 7 residents and 5 staff members, all of whom felt the facility is maintained in a sanitary condition. In addition, a review of the faciities housekeeping log shows that a deep clean is conducted on the days that the resident is scheduled for a shower. Cleaning is conducted on a as needed basis and could be daily. Based on the information gathered, there is not sufficient evidence to prove that the resident rooms are not clean and sanitary. Allegation: Facility staff did not wash resident's laundry It was alleged that the staff does not wash resident's laundry. During the course of the investigation, LPA Pascua conducted interviews and reviewed facility records. Based on interview with staff conducted revealed that each residents laundry is conducted once a week or as needed. Interviews with 5 residents disclose that they do not have any issues with their laundry services and are conducted as highlighted in their care plan. A review of the facilities laundry schedule confirms this statement. Based on the information gathered, there is not sufficient evidence to prove that the facility staff do not wash resident's laundry. As a result of this investigation, this Department found the allegations to be UNSUBSTANTIATED. A complaint allegation finding of Unsubstantiated meant that although the allegations may have happened or was valid, there was not a preponderance of the evidence to prove that the alleged violation occurred. There were no deficiencies observed or cited at this time. An exit interview was conducted and a copy of this report were provided to the facility at the end of this visit.