complaint·September 25, 2025

On allegation, facility did not have an adequate amount of fruit and vegetables. It was alleged by a reliable source that there was limited to no fruit and vegetables on hand for the residents in care toward the beginning of this week in September 2025. During todays visit LPA observed approximately two ripe bananas, five oranges, nine apples, a full bag of purple grapes, four small tomatoes, five heads of lettuce, a half a bag of cut broccoli and an unopened 5 lb bag of mixed frozen vegetables which is an acceptable amount of perishable foods for 4 residents, for two days. LPA noted that there are more than a dozen canned fruits and vegetables in the pantry. LPA interviewed Licensee, who stated, they go shopping at least once a week or twice a week if needed. Residents stated to LPA during interview that they get enough fruits and vegetables. One resident stated they really like vegetables and usually get extra and another stated the staff meet their low carbohydrate diet needs. Based on all interviews conducted and documents obtained, at this time the above allegation was found to be unsubstantiated , meaning that the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Exit interview conducted over the phone with Licensee and the Caregiver present at the facility, report signed, and report provided to the Caregiver. in September 2025 that the laundry room door and bathroom door across from the laundry room were left open leaving disinfectants, cleaning solutions, and laundry detergent unattended and accessible to residents in care. Additionally, at about the same time the kitchen knife drawer was left unlocked, a knife and pair of scissors were left on the kitchen counter unattended and accessible to residents in care. During today's visit LPA toured the facility and noted the laundry room door was closed, but unlocked. LPA observed the staff working in and around the laundry room at the time not leaving it unattended. LPA did not observe any cleaning solutions left unlocked in the bathroom across from the laundry room. The knife drawer was locked and no knives or scissors were left out unattended. LPA interviewed Licensee regarding the specific incident in the allegation and the Licensee admitted that at the time of the alleged incident the staff were caring for a resident in the resident's private room leaving all of the items listed in the allegation unattended by staff and accessible to the other 3 residents in care. Based on all interviews conducted and documents obtained, at this time the above allegation was found to be substantiated , there is a preponderance of the evidence to prove that the alleged violation occurred. The facility was previously cited for disinfectants and cleaning solutions being left out, unattended, and accessible to residents in care on a Case Management - Legal/Non-Compliance visit dated 8/12/2025. Exit interview conducted over the phone with Licensee and the Caregiver present at the facility, deficiencies cited on LIC809-D pages, a civil penalty in the amount of $250 for a repeat violation is being assessed on the LIC421FC, report signed, report and appeal rights provided to the Caregiver.