complaint·July 6, 2023

This complaint has been investigated through multiple site visits, statements from witnesses, and review of pertinent documents. Today, Licensing Program Analyst Leibert arrives unannounced and meets with the Administrator to discuss the findings: R1's care plan requires weekly bathing and assistance with grooming; Care notes report an incident when R1 refused to get out of bed; Shower logs fro R1 indicate R1 refused showers on 5/19,5/23,6/2,6/16; LPA Leibert sampled food service on three occasions and found food to be fresh, nourishing and warm or hot; A sampling of call response logs over a 3 day period resulted in most calls answered in less than one minute with one 9 minute response and one 10 minute response; LPA noted the facility to be clean and in good repair during 3 recent unannounced site visits; Facility has no maintenance record of repair to R1's toilet but reports a service call to clean toilet on 5/15. Although the allegations may be true, based on statements, documents, and observations, there is not a preponderance of evidence to prove the allegations did, or did not, occur. Therefore, the allegations are UNSUBSTANTIATED. No citations issued today. Report left.