complaint·October 19, 2024

Continued from 9099.... Based on LPA’s observations, interviews, and records reviewed, there is no evidence to support the allegation that staff are not providing residents with adequate food service. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated . Staff did not address changes to resident's physical, medical, mental, and social condition. LPA made observations, conducted interviews, and reviewed records and found that staff monitor all residents for changes in condition. LPA reviewed physician reports and care plans. The care team is aware of residents’ needs and continuously monitor for changes in condition and did not find any evidence of changes not being addressed. 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 that staff did not address changes to resident’s physical, medical, mental, and social condition is unsubstantiated. Staff do not keep the facility free from odor: LPA conducted facility visits on 7/24/2024 and 10/19/2024 and found resident rooms in memory care to be clean and odor-free. LPA inspected rooms in the Assisted Living section on the same dates and found no concerns for cleanliness or observed any odors. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation that Staff do not keep the facility free from odor is unsubstantiated. Staff do not ensure residents toileting needs are met in a timely manner: LPA made observations and reviewed records. LPA conducted facility visits on 07/24/2024 and 10/19/2024 and found that residents appeared clean and dressed appropriately. A review of records found that hygiene and toileting needs are logged regularly by staff which show that toileting is conducted approximately every two hours. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation that Staff do not ensure residents toileting needs are met in a timely manner is unsubstantiated.