Complaint·July 14, 2025

(continued from LIC9099) Regarding the allegations "Residents are not being checked on/repositioned every 2 hours" and "Residents are being left in soiled depends/clothes for an extended period of time": LPA interviewed staff who stated the residents who require repositioning are checked on and repositioned every two hours. Staff stated all the residents who require incontinence care are checked on and changed every two (2) hours. LPA interviewed a hospice nurse who has patients at the facility and the nurse stated they have not observed any residents at the facility left in soiled briefs and the nurse has not seen any evidence of residents not being repositioned, such as wounds. Based on these interviews these allegations are deemed UNSUBSTANTIATED at this time. Regarding the allegation "Staff are putting residents to bed at an early time": LPA interviewed staff who stated they start putting residents to bed around 7:00 p.m. They first put those to bed who seem very tired and might already be dozing off in their chairs. Then they start helping other residents to bed by 8:30 p.m. If a resident resists and wants to stay up they can do so but most residents are ready for bed around 8:30 p.m. Based on interviews this allegation is deemed UNSUBSTANTIATED at this time. Regarding the allegation "Staff are not providing residents nutritious meals": LPA interviewed staff who stated the residents' heaviest meal is at lunch. Breakfast and dinner are lighter meals but nutritious. For instance, lunch was ham, yams, and mixed vegetables. For dinner tonight they are serving soup, grilled cheese, salad, and watermelon. Residents will be offered snacks during the afternoon and evening which may be peanut butter and jelly, ice cream, milk with cookies, pudding, etc. Staff stated they observe the facility serves vegetables and fruit with lunch and dinner. Residents can have fruit as snacks as well. Based on interviews this allegation is deemed UNSUBSTANTIATED at this time. No deficiencies observed. Exit interview conducted and report issued.