Complaint Investigation Report

The pest control report from Advanced IPM dated March and April revealed that the kitchen drains, clogged sink in break room, and water heater room were unsanitary that could attract flies, roaches, and other pests. W1 report ed and provided photos from 04/07/25 of a clogged toilet with what appeared to be urine; the bathroom floor had soiled medical chucks with fluids that had run onto the floors and into the crevices. Deficiency cited and civil penalties were issued on 08/14/25.

A comfortable temperature is not maintained for the residents at the facility

LPA, S1 and S3 inspected the thermostat at the facility, and recorded 65 degrees Fahrenheit (F) on the north wing and 66 degrees F on the south wing. S1 presented a portable thermostat that displayed 72.8 degrees F. S1 stated that there were times when the exit doors were left open by the residents and the surge of outside air affected the temperature inside the building and oftentimes the staff constantly reminded the residents, and the residents still forgot to close the doors. Although the temperature regulatory standards both thermostats affixed to the walls were inoperable or unable to be adjusted. Deficiency cited and civil penalties were issued on 08/14/25.

Disinfectants and poisons are not inaccessible to residents

LPA arrived unannounced on 04/08/25, observed a green grocery shopping cart in the hallway near room #11 that was used to transport linens and all-purpose cleaning supplies (what appeared to be a cleaning solution in a Fruit Punch container and Fabulosa). The cart was unattended near room #11. When S4 appeared, LPA asked S4 was she/he housekeeping and S4 replied yes. S1 stated that S4 was cleaning and that he/she had spoken to the staff before about leaving the cleaning items unattended. W1 reported and provided photos from 04/07/25 of disinfectants accessible to residents.

Facility is not providing a weekly menu for residents in care

S1 provided LPA the following written statement, “We do not post an alternative menu, but we do cater to residents’ requests if the served menu is not appropriate to them. The cook gave a list of alternative meals readily available upon request to W1. This list is now posted in the dining room.” LPA requested copies on the weekly menu from S3 and there was not a record kept on file for 30 days.