complaint·July 11, 2024

LPA Jeffries interview with Administrator on 07/01/2024, who indicated that the kitchen sink was recently fixed, and the facilities air conditioner was scheduled to be repaired on 07/03/2024. LPA noted that on 07/05/2024 LPA contacted Administrator by phone to confirm repair. On 07/11/2024 LPA Jeffries conducted a visit to facility to confirm that facility sink and air-condition had be repaired. At this time there is enough evidence to support that during the time of the complaint the facility was in disrepair, therefore the allegation of, “Facility in disrepair.” Is substantiated at this time. Exit interview, report read, appeal rights and report provided. At this time there is not enough evidence to support the allegation of, “Facility staff not using proper infection control practices.” and is unsubstantiated at this time. As to the allegation of, “Facility staff does not provide a good quality of food to residents in care.” It was alleged that the facility does not provide good quality/fresh food. On 07/01/2024, LPA Jeffries interviewed 4 of 10 residents, R1, R2, R3, and R4, who all stated they had no issues with food and no issues with this facility and feel safe and comfortable in this facility. On 10/05/2023 LPA Jeffries conducted full facility annual inspection and observed 2 days of perishable and 7 days of non-perishable foods on hand at the facility for 15 residents and staff. On 07/01/2024 LPA Jeffries interviewed S1 and S2 who stated that the facility administrator has never been short on quality foods. On 06/27/2024 LPA Jeffries conducted an interview of a reliable source [Witness 1, W1] (individual with credential or license to signify expertise in this field.) who visits and observes this facility on a bi-weekly basis. W1 stated that for the last year the facility has had quality foods in sufficient amounts. On 07/01/2024, LPA Jeffries observed at least 2 days of perishable and at least 7 days of non-perishable foods on hand that were of good quality and amounts. At this time there is not enough evidence to support the allegation of. ““Facility staff does not provide a good quality of food to residents in care.” and is unsubstantiated at this time. As to the allegation of, “Facility staff do not meet the needs of resident in care.” It was alleged that the facility is unkept, facility has no activities, and residents have been bitten by fleas. It was discovered through interviews, documentation, and observation that on 07/01/2024 LPA Jeffries interviewed 4 of 10 Residents, R1 -R4 all denied having any bug bites on their bodies. R1 – R4 all stated that staff do a good job of keeping the facility clean. R1- R4 all stated that the facility provides activities daily for all residents. R1- R4 all stated that they had no issues with the facility. On 07/01/2024 LPA Jeffries interviewed S1 and S2, who both stated that facility clean up is a normal party of their daily duties and have never had any issues with completing all daily duties. S1 and S2 deny any indication of residents or staff suffering from any bug bites. On 07/01/2024 LPA Jeffries toured the facility and found the facility to be clean. On 10/05/2023 LPA Jeffries conducted an unannounced annual inspection, and the facility was observed to be clean during that annual inspection. LPA Jeffries reviewed facility weekly activities schedule and noted that activities were observed during annual inspection on 10/05/2023. At this time there is not enough evidence to support the allegation of, “Facility staff do not meet the needs of residents in care.” and is unsubstantiated at this time. Exit interview, report read, and report provided.