complaint·August 13, 2024

As a result, there is no preponderance of evidence to conclude that staff has or is currently mismanaging residents’ medication, therefore, this allegation is UNSUBSTANTIATED. A finding of unsubstantiated means the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Allegation: Staff did not ensure that the facility was kept clean. LPA conducted interviews and record reviews as noted above. Based on observation, LPA determined that facility is maintaining a clean environment for residents including no malodorous occurrences or excessive stains on walls or floors in common areas and kitchen. An observation of various resident rooms determined a clean and sanitary environment. Interviews and record reviews revealed an adequate cleaning schedule in place necessary to meet the housekeeping needs of the facility. As a result, there is not a preponderance of evidence to conclude facility has not maintained cleanliness, therefore, this allegation is UNSUBSTANTIATED. A finding of unsubstantiated means the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Allegation: Staff threatened residents with eviction. LPA conducted interviews and record reviews as noted above. Based on interviews and record reviews, it was revealed that there is currently no resident under consideration for eviction. Additionally, interviews conducted revealed no corroborated statements of facility staff using verbalization in a threatening manner to suggest evictions for any reason. As a result, there is not a preponderance of evidence to conclude staff threatened residents with eviction, therefore, this allegation is UNSUBSTANTIATED. A finding of unsubstantiated means the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Allegation: Staff did not provide a safe and comfortable environment for residents. LPA conducted observation and interviews as noted above. LPA’s observations revealed facility is currently meeting the standard of a safe and comfortable environment for residents. LPA observed facility to maintain an adequate temperature throughout facility and within regulatory guidelines. Observations also revealed doors, bathroom fixtures, lighting, and furnishings within common areas and resident bedrooms to be functioning adequately. LPA observed facility’s designated smoking area to contain table and chairs used by residents to be within 20-25 feet or more of facilities entrance. {Cont. on 9099C} A door leading to the smoking area was observed to be shut during LPA’s observation. Interviews conducted did not reveal any corroborated statements of facility not maintaining a safe and comfortable environment. As a result, there is not a preponderance of evidence to conclude staff is not providing a safe and comfortable environment for residents, therefore this allegation is UNSUBSTANTIATED. A finding of unsubstantiated means the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted with Rebecca Cobb and a copy of this report was provided to Rebecca. Appeal rights provided.