complaint·March 19, 2025

It was alleged that the rug outside of the front entrance of the facility and the outdoor walkways posed safety hazards to residents. Upon entry at 09:50AM, LPAs did not observe a rug by the front door entrance. Interviews conducted with staff and residents confirmed that there used to be a rug at the entrance, but it was removed due to several reports of the rug getting caught on resident walkers. It was further alleged that the outdoor passageways are too narrow and pose concerns for walker usage. LPAs observed the outdoor passageways which were maintained in good repair and not obstructed. Seven (7) out of seven (7) residents interviewed did not report any current safety concerns. At 01:57PM, LPA along with the Maintenance Director, measured the outdoor passageway by the side of the facility to be 37 inches, and at 01:59PM the outdoor passageway leading to the front of the facility to be 60 inches. The average walker measures around 23-28 inches. No concerns of the width of the passageways were noted. Staff interviewed did not have current physical plant safety concerns. LPAs did not observe any immediate safety concerns or deficiencies during the physical plant tour. Minor physical plant concern in the laundry room on the third floor is being addressed by the ED. LPAs had a conversation with the ED to ensure that all rugs in the facility shall have protective devices such as nonslip materials and to ensure that there are no tripping hazards throughout the facility. Based on LPAs’ observation, interviews, and record review, the information obtained during the investigation does not have sufficient evidence to corroborate the allegation. 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 above allegation “Facility staff do not maintain facility walkways free from hazards” is deemed UNSUBSTANTIATED at this time. No deficiencies cited at this time. Exit interview conducted. A copy of the report was issued.