complaint·April 28, 2025

Continued from LIC9099... LPA was informed that the facility activities director wipes down all chairs and surfaces in the activities area regularly, the facility has the cleaning crew clean the carpets every Friday, and the facility has a carpet cleaner/extractor on site that they use to clean up any visibly soiled areas immediately. LPA received copies of R1’s pre-placement appraisal and care plan documentation from Licensee which confirm that R1 has a known, documented history of lymphedema and has been receiving home care to wrap their legs three times per week since being admitted to the facility 06/2024. Additionally, based on documentation and shower logs received, facility staff offer R1 bathing assistance two times per week, but R1 often refuses. Lastly, on 4/23/2025, LPA obtained a staff roster showing sufficient staffing, and LPA spoke with facility administrator who informed LPA that R1 relocated to a new facility that offers memory care. Based on record review, interviews conducted, and observations made, the allegations that the facility is not addressing changes in Resident 1 (R1’s) condition and that facility is not ensuring contaminated surfaces are disinfected are UNSUBSTANTIATED. A finding that the complaint allegations are unsubstantiated means that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegations are UNSUBSTANTIATED. No Deficiencies cited during visit. Exit interview conducted. Copy of report discussed and provided to Administrator. Signature on form confirms receipt of documents.