complaint·August 28, 2024

The facility ruled unsanitary living conditions and the Fire Chief deemed the room a bio hazard, A bio hazard cleaning crew was brought in to remove the bio hazard and clean the room. Resident 1 (R1) was issued an eviction on 05/30/2024 with the following dates of noncompliance to keep room clean and free from odors 11/15/2023, 12/11/2023, 02/06/2024, 02/29/2024, 03/21/2024, 03/24/2024, 04/29/2024 along with multiple other dates ranging from 02/24/2024-03/19/2024 with refusals of care needs, room cleaning, and laundry services. Based on the evidence this allegation is deemed Substantiated at this time. On the allegation: Facility staffing is not sufficient in dining to meet the needs of the residents. LPA interviewed staff and residents which revealed the dining room staffing is getting better but still short a few positions, dishwasher, busser and server. Staff stay late or staff come in early when they can. The staff call offs are what make the dining room short staffed when no one can cover the shift. Staff have had to work shorthanded, and the wait times can increase for residents. Staff stated you can’t look at the schedule because it does not reflect for call offs or no shows so you really can’t tell if the kitchen is short staffed by looking at the schedules. Facility census was 98 residents on 08/24/2023. LPA emailed Administrator on 08/29/2023 and asked what it looks like if the kitchen and dining are fully staffed. Administrator stated 1 AM cook, 2 AM servers, at 11:00am the PM staff of 1 dishwasher and 1 additional server come in for lunch and the PM service, 1 PM cook and 1-2 more servers for dinner. LPA De Leon reviewed the staff schedules for 12/01/2023-12/11/2023 for kitchen/dining staff. The facility census was 108 residents on 1/11/2023. On 12/02/2023 the facility was short 1 am server, on 12/03/2023 the facility was short staffed 1 am server, on 12/04/2023 the facility was short staffed 1 am server, on 12/05/2023 the kitchen was short staffed 1 cook in the pm, on 12/10/2023 the kitchen was short 1 am server, and on 12/11/2023 the kitchen was short staffed 1 am server. Staff stated the Food Service Director/ Chef does help cover positions when the facility is short staffed but not all the time. Based on the evidence this allegation is deemed Substantiated at this time. Exit interview conducted, copy of report and appeal rights printed for Administrator.