complaint·January 9, 2024

The facilities washer and dryer are in an open hallway closet with no door and a curtain that was slid open during the investigation visit. The washer and dryer are in direct access of entering and exiting 3 resident rooms in this facility. LPA interviewed Staff 1 (S1), who stated, “that’s where we have been keeping the detergent.” when asked by LPA. LPA instructed S1 to secure the detergent and fabric softener so that it was not accessible to resident in care. LPA noted that there is currently a resident in care that has a diagnosis of dementia which regulations require these items to be inaccessible. Items reported, and observed were accessible to residents in care. At this time there is enough evidence to support the allegation of, “Cleaning supplies were accessible to residents in care.” and is substantiated at this time. As to the allegation of, “Knives were accessible to residents in care.” It was alleged by a reliable source that cleaning supplies, knives, and medications were accessible to residents in care in the first week of January 2024. On 01/09/2024, LPA Jeffries conducted an unannounced investigation visit to the facility where he observed and photographed 3 large kitchen knives, and scissors in an open drawer in the kitchen. LPA interviewed staff 2 (S2) about the knifes, and scissors in the open drawer and S2 stated, we don’t use those knifes.” and “they have been there.” LPA noted that the drawer LPA found the knifes, and scissors was the first drawer as you would enter the kitchen and was not a secured drawer. LPA photographed the knifes and scissors in the unsecured drawer and asked S2 to secure them in the secure lockable knife drawer located adjacent to the unsecured drawer in the kitchen. LPA noted that there is currently a resident in care that has a diagnosis of dementia which regulations require these items to be inaccessible. Items reported, and observed were accessible to residents in care. Based on observations, interviews, and photographic evidence there is enough evidence to substantiate the allegation of, “Knives were accessible to residents in care.” and is substantiated at this time. Exit interview, report read, citations issued, appeal rights and report provided. LPA noted that once S2 secured the medications for the A.M. medication pass, S2 then secured the medication closet by locking the keyed padlock before administering medications. LPA noted that during the investigation visit that the medications were not accessible to residents in care at any time. LPA interviewed 3 of 5 Residents. R1-3 all stated that they had no issues with medications, food, and felt safe in this facility. LPA interviewed Staff 1 and 2. S1 and S2 both stated that the medication closet is locked unless they are working on administering medications. At this time there is not enough evidence to support the allegation of, “Medications were accessible to residents in care.” and is unsubstantiated at this time. As to the allegation of, “Facility did not have an adequate amount of fruit.” It was alleged by a reliable source that there was limited to no fruit and molded fruit on hand for the residents in care in the first week of January 2024. On 01/09/2024. LPA conducted initial investigation visit and was able to observe approximately 2 ripe bananas, 3 pomegranates, 2 ripe kiwis, 12 oranges, and 4 apples, full stock of celery, and 6 cucumbers which is an acceptable amount of perishable foods for 5 residents, for two days. LPA noted that there are more than two dozen canned fruits and vegetables in the garage pantry that have been in stock for at least 3 months according to Licensee and S2. LPA did not observe any molded, spoiled or rotten food on hand in the facility during this investigative visit. LPA interviewed S2, who stated, “we always have more then enough food” and “we always have fresh fruits and vegetables for two days.”. S2 also stated that the facility has planned food shopping every two weeks and as needed. LPA interviewed Licensee who stated that, “we shop every two weeks, but if we need something we go out and buy it as its needed.” LPA interviewed Residents 1-3, R1-3 stated, that they had no issues with medications, food, and felt safe in this facility. Based on interviews, observations, and photographs there is not enough evidence at this time to substantiate the allegation of, “Facility did not have an adequate amount of fruit” and is unsubstantiated at this time. Exit interview, report read, and report provided.