complaint·August 24, 2023

LPA observed the facility toilets to all be working properly during the inspection. The investigation revealed that the Administrator has several facility bathrooms that may be used by residents if a toilet clogs up and/or has plumbing issues. All showers are working properly, including sinks. The facility has staff that handle maintenance, and if a toilet couldn't be unclogged or there were plumbing issues a plumbing service would be contacted. Per the investigation, there was no information obtained to support that a violation had occurred. All resident rooms have locks on the outside of their doors but from the inside the door can be opened at any time by the residing resident. When the resident bedroom door is closed, it automatically locks, which keeps residents belongings safe and secure in their own room. Residents that understand their door lock can get back in, and other residents are able to be let in by staff as needed. If residents ask that they have food/drink items to store in the kitchen refrigerator they are able to, per interviews with staff. The residents name is written on the item(s) and put into the refrigerator in the locked kitchen area. The kitchen doors are kept locked and only accessed by staff. A resident will ask the staff for their food/drink items when they want them, and staff will provide these items to the resident. Per the investigation, there was no information obtained to support that a violation had occurred. LPA conducted interviews with staff and other related parties. Information obtained didn't support that a violation had occurred regarding staff yelling at residents and/or speaking to residents inappropriately. All staff have criminal record clearance as required. Staff have required training. Per investigation, interviews, and observations, the facility does not have an outbreak of bed bugs. The facility has not had a case of bed bugs now and/or prior to the investigation. The facility has had scabies, and all residents were treated as needed and required, per review of records. Per the investigation, there was no information obtained to support that a violation had occurred. Based on the interviews, record/document reviews, and related information obtained during the investigation, of the allegations " Staff do not provide residents with modified diets as prescribed, Staff do not ensure facility plumbing is functioning properly, toilet(s) are not flushing, Staff do not safeguard resident's personal belongings, Staff yell at residents in care, Staff do not ensure the facility is free from bed bugs" are Unsubstantiated, meaning that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. No deficiencies cited. Exit interview was conducted with the Administrator David Hanna.