complaint·January 30, 2026

no issues at all with the care provided by the facility and its staff. On 01/30/2026 LPA Jeffries conducted interviews with multiple staff (S1, S2, S3, and S4). S1-4 all stated that they have continuous training by the facility. All stated that R1 would let facility staff know if R1 had any injury or illness, need for incontinence assistance and would routinely refuse showers weekly. On 01/30/2026, LPA Jeffries conducted interviews with multiple Residents (R2, R3, R4, and R5). R2-5 all stated they had no issues with assistive care that the facility provides, R1-4 all stated that they had no issues with showering or incontinence assistance the facility provides. R1-4 all stated they had no issues of concern with the facility in general. On 01/30/2026, LPA Jeffries reviewed documentation of incident report from the facility dated 01/21/2026 indicating that R1 was seen by Physician on 01/21/2026 who referred R1 to ER to determine stage of food wound. R1 returned to facility on 01/21/2026. R1's Podiatrist saw R1 on 01/26/2026 and Home Health wound care specialist saw R1 on 01/30/2026. LPA noted that the Home Health Care contract for R1 was to address R1's foot and began on or before December 23, 2025. which provided evidence of contestant licensed medical attention to R1's foot prior to R1's visit to the ER on 01/21/2026. Based on interviews, and documentation there is not enough evidence at this time to support the allegations of "Resident sustained a pressure wound due to staff neglect." and "Staff did not ensure resident received medical attention in a timely manner" and both are unsubstantiated at this time. As to the allegation of, " Staff left resident soiled in feces for an extended period of time." It was alleged that, facility staff are, "leaving residents in soaked diapers until they are dripping wet with urine or feces down their chairs." On 01/30/2026 LPA Jeffries conducted an interview with R1 who stated, R1 had no issues with care at the facility and care provided by the staff. R1 denied having any issues with incontinence care at the facility. On 01/30/2026, LPA Jeffries reviewed facility Shower Form & Skin Integrity Monitoring Form for R1 for the months of July 2025 through January 2026 which documents contestant showering assistance for the months of July through December 2025. The Shower Form & Skin Integrity Monitoring Form for R1 for the month of January shows that R1 refused 3 of 7 assisted showers (every other shower attempt) for the month of January 2026. LPA reviewed R1's Appraisals Needs and Assignments form and Care plan that state. "often Resident will only agree to one shower per week." On 01/30/2026 LPA Jeffries made observations during visit and noted no residents appearing to be uncomfortable or lacking needs being met by facility staff. Based on interviews documentation and observation there is not enough evidence at this time to support the allegation of,"Staff left resident soiled in feces for an extended period of time." and is unsubstantiated at this time. Exit interview, report read, and report provided.