complaint·November 26, 2024

and facility staff provide ongoing training. LPA observed training binders including signed documents indicating staff have received training monthly. During the visit, LPA and Facility Designee attempted to contact the hospice nurse who provided most training, however nurse was unavailable. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation “staff falsify training records” is deemed UNSUBSTANTIATED at this time. Allegation "Staff do not ensure facility is free from pests:" During the facility tour, LPA observed a rodent trap in the garage, but no droppings or other evidence of pest infestation. Facility Designee indicated that the facility has ongoing monthly pest control as a preventative measure against pests, which includes the rodent trap observed. LPA observed all kitchen cabinets, crevices, and behind all appliances and did not observe any insects or droppings. Staff interviewed indicated they had in the past seen pests, but not recently. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation “staff do not ensure facility is free from pests” is deemed UNSUBSTANTIATED at this time. Allegation "Dishwasher is in disrepair:" Interview with Facility Designee revealed that management had purchased a new dishwasher for the facility about 1 year ago. The dishwasher is functional, but that facility staff choose to wash most dishes by hand. During the visit, the Facility Designee turned on the dishwasher at 12:05PM and LPA observed the dishwasher to be functional at the time of the visit. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation “dishwasher is in disrepair” is deemed UNSUBSTANTIATED at this time. No citations issued. Exit interview conducted. A copy of today's report was provided.