Complaint·March 11, 2026

According to the Health Services Director and Resident Care Coordinator, the facility's main phone was not working because on 3/2/26, when the receptionist handed the phone to the med-tech, they did not transfer the phone line properly. In addition, the Resident Care Coordinator confirmed she fixed the phone system on 3/3/26 before 9:30am. Based on documents reviewed, an in-service training was provided on 3/4/26 with med-techs and the receptionists regarding phone hand off. Regarding the allegation, staff provided a resident an inappropriate heating device, according to the reporting party, the administrator provided Resident 1 (R1) a space heater while the heating in R1's room needed to be fixed, however the space heater did not turn off when tipped over. During the investigation, LPA interviewed the administrator, maintenance director, and observed R1's room. According to the Maintenance Director and Administrator, R1's responsible party complained about the temperature gage on the thermostat in R1's room and wanted the room temperature to be 80 degrees F. According to the maintenance director, she checked the room temperature several times and notified R1's responsible party that R1's room was reading between regulatory requirements, however R1's responsible party still complained, so the Maintenance Director not only replaced R1's thermostat but also provided R1 with a space heater to put in his/her room. The administrator indicated when she observed the space heater in R1's room, she had to remove it as the facility does not allow heating devices in resident rooms. Furthermore the administrator stated, even after removing the space heater from R1's room and notifying R1's responsible party that it was not allowed, R1's responsible party brought another heating device to the facility to place in R1's room. During the visit, LPA did not observe a space heater in R1's room. Regarding the allegation, staff did not provide a comfortable temperature for a resident, according to the reporting party, the administrator refused to call an HVAC company to fix the heating in R1's room for over a week. During the investigation, LPA interviewed the administrator, maintenance director, observed R1's room. According to the administrator, she denied this allegation and indicated that she told R1's responsible party that she wanted to try to fix R1's room temperature in house, if possible, prior to calling HVAC. The administrator and the maintenance director, confirmed that R1's thermostat was in good working condition, however R1's responsible party wanted R1's room to read at 80 degrees F. The maintenance director worked with R1 and R1's responsible party by reading R1's room temperature multiple times and replacing the thermostat. (continue to 9099C) According to the maintenance director and administrator, the temperature readings in R1's room were within regulatory requirements, however R1's responsible party still complained so HVAC was called and they came out to do service in R1's room. During the visit, LPA observed R1's room to be at 76 degrees F. Based on interviews conducted, documents reviewed, and information collected, the department has determined that although the above allegations may have happened or are valid, there is no preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegations are UNSUBSTANTIATED. Report is reviewed with Administrator, Anne Buerhaus and a copy is provided.