Complaint·June 17, 2025

During the visit, LPA interviewed the administrator and med-tech. According to the administrator and med-tech, it’s the residents and responsible parties responsibility to schedule the medical appointments. In addition, administrator and med-tech indicated that once responsible parties or residents schedule medical appointments, they should notify the front desk so that transportation can be arranged in advance. Regarding the allegation staff are not properly trained, according to the reporting party, he/she spoke to a med-tech (name unknown) that was not sure who was filling R1's medications and did not know much about R1. During the investigation, LPA reviewed 5 staff training records. LPA concluded that based off the records of staff training, staff are being trained regularly throughout the year. Staff records are complete and training logs are being maintained and audited every month. Regarding the allegation, staff do not ensure facility restrooms have adequate toiletry supplies, according to the reporting party, the communal bathrooms at the facility does not have toilet paper, liquid soap, and paper-towels. During the visit, LPA interviewed housekeeping staff and observed the communal bathrooms. According to the housekeeping staff, the bathrooms are checked and toiletries are restocked in all communal bathrooms at the start of their shift in the morning and then checked 3x throughout the day. During the investigation, LPA observed the two communal bathrooms on the first floor and the communal bathroom on the second floor and observed all three bathrooms to be equipped with liquid soap, paper towels, toilet seat covers, and paper-towels. Regarding the allegation, staff is retaining a resident that required a higher level of care, according to the reporting party, R1 has advanced dementia based on the medications R1 is taking for Alzheimer’s dementia, however there is no memory care services at the facility. During the investigation, LPA observed R1’s file and medication list. Although R1 is taking two alzheimer's dementia medications, the facility does not have anything in writing indicating that R1 has dementia. According to the administrator, the facility has tried several times to reach out to R1's responsible party to schedule an appointment for R1 to be reassessed, however R1's responsible party is non-responsive. Based on documents reviewed, and interviews conducted, the department has determined that although the above allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED. Report is reviewed with the administrator and a copy is provided.