complaint·December 30, 2025

On 05/07/2025, LPA interviewed Executive Director (ED) Meghian Geul. ED stated housekeepers clean resident rooms once per week. ED stated caregivers take out trash from resident room after they visit residents. ED stated caregivers visit/check residents more often to take out soiled diapers/trash if residents are incontinent. ED stated residents receive 2 showers per week. ED stated residents have laundry service once per week and as needed. LPA interviewed Housekeeper/Maintenance Director (HD). HD stated housekeepers clean resident rooms once per week. HD stated housekeepers conduct laundry for residents' bed sheets and linens once per week. HD stated that caregivers conduct laundry for residents' clothes. LPA interviewed previous Director of Assist Living Unit (DAL), DAL stated housekeepers clean resident room once per week. DAL stated housekeepers conduct laundry of bed sheets and linens for residents once per week and caregivers conduct laundry of resident clothes once per week. DAL stated caregivers take out trash for residents when they visit resident rooms. LPA interviewed 7 caregivers, 7 out of 7 caregivers stated they take out trash for residents when they visit resident rooms. LPA toured resident R1's room and interviewed R1. R1 stated housekeepers clean the room once per week. R1 stated caregivers take out trash from the room when they visit the room. LPA observed washing machine and drying machine in the room. LPA did not observe trash on the floor or on table in the room. LPA did not observe many soiled clothes in the laundry basket. R1's room was clean and in sanitary condition. LPA toured 7 other resident rooms and interviewed 7 residents. 7 out of 7 residents stated housekeepers clean their rooms once per week. 7 out 7 residents stated laundry was conducted at least one time per week by the facility staff or by themselves. No trash was observed on the floor or on table in the rooms. The rooms were observed clean and in sanitary condition. Continue on LIC9099-C. Page 2 of 3. On 5/21/2025, LPA toured 8 resident rooms. LPA observed the bedrooms and bathrooms as clean, sanitary and in good condition. LPA did not note any foul odor in the residents' bedrooms or bathrooms. Based on the observation and interview with staff and residents, residents' rooms were observed as clean, in sanitary condition and in good condition. The facility staff clean resident rooms once per week and conduct laundry once per week. Caregivers take out trash for residents when they visit resident rooms. The Department has investigated the above allegations. Based on the investigation, records reviewed, observation, and interviews conducted, the Department found that the above allegation is UNFOUNDED , meaning that the allegation is false, could not have happened and/or is without a reasonable basis. No citations noted at today’s compliant investigation visit. Exit interview conducted with Executive Director (ED). This report was provided to review and for signature. A copy of this report was provided to ED. Page 3 of 3. On 05/07/2025, LPA interviewed Executive Director (ED) Meghian Geul, previous Director of Assisted Living (DAL), and Housekeepers Director (HD). Based on the interview with ED and DAL, resident R1 moved in the facility on 08/25/2022, and before 04/01/2025 R1 was independent and only received medication management assistance with getting changed clothing during morning and bedtime care. On 04/01/2025, R1's care/service plan has been updated due to change of health condition. R1 requires incontinence assistance and taking baths. R1 was provided bathing every Sunday, Tuesday and Thursday at 6:30PM. During interview with HD regarding R1's dirty laundry, HD stated residents' laundry is washed weekly. HD stated also he/she did not receive a request from management until 05/06/2025 that R1's laundry has to be washed from one to three times a week. On 05/07/2025, LPA conducted a random interview with 7 staff (S1 - S7) regarding R1's dirty laundry. 3 Out of 7 staff stated the facility does not have the resident laundry log, they were unable to remember the dates that they conducted laundry for R1. On 05/07/2025, LPA conducted a random interview with 7 staff regarding R1's shower/bathing, 3 Out of 7 staff (S1- S3) stated they have assisted R1 with showers/bating for the following dates 04/13/2025, 04/15/2025, 04/29/2025, and 05/01/2025. S1 to S3 stated that they provided or assisted R1 with showers/bathing but there were times when R1 refused to take showers/bath, and they admitted being neglectful to sign off on the shower skin sheet assessment form. 4 Out of 7 (S4 to S7) staff stated they did not help R1 with shower before. 3 Out of 7 staff (S1 - S3) stated when they assist residents with bathing or showers, they are required to sign the shower skin sheet assessment form. A copy of facility's staff showers skin assessment forms of R1 was obtained. On 05/05/2025, LPA conducted an interview with reporting party (RP). RP stated that on 04/27/2025, he/she noted that R1 had a skin and reddish color on chest. RP contested that if the staff were providing showers and assisting R1 with getting changed clothes during morning and bedtime, staff should have noted skin rash on R1's chest prior to 04/27/2025. RP notified staff that R1 had skin rash. Continue on LIC9099-C. Page 2 of 3. On 05/07/2025, LPA interviewed staff (S1 - S3) about R1's skin rash. 3 Out of 3 staff stated that they did not find skin rash prior to 4/26/2025 after it was reported to the facility by R1's family member (FM). Based on the interview with the facility staff, the facility staff were not aware of R1's rashes until R1's family notified the facility. Based on Cleveland Clinic Health Library Disease and Condition Information website, Skin Rashes can be red, inflamed, bumpy as well as dry, itchy or painful. The main cause is dermatitis, which is when skin reacts to allergens or irritants. Bacteria, viruses, allergens and conditions including eczema, hives, and psoriasis can be the source of skin rashes. There is no evidence that a skin rash is a direct result of poor hygiene itself . The department has investigated the above allegation. Based on the observations, records reviewed, and interviews conducted, the Department found that the above allegation is UNSUBSTANTIATED . An unsubstantiated finding indicates that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the allegations did or did not occur. No deficiencies or citations noted at today’s compliant investigation visit. Exit interview conducted with ED. A copy of this report was provided to ED. Page 3 of 3.