Complaint Investigation Report

***This report serves as an amendment and supersedes the original complaint investigation report created on 12/24/24. The findings changed to un-substantiated. ***

The investigation consisted of staff interviews from staff#1 (S1) to staff#2 (S2), resident interviews from resident#1 (R1) to resident#3 (R3) and conducted a physical plant in R1/ R2’s rooms. Copies of staff and resident rosters were obtained.

The investigation revealed the following:

In regard the allegation of staff do not ensure that resident has hot water, it was alleged that hot water was not delivered to residents’ bathrooms for showers on a regular basis. LPA interviewed resident#1(R1), the interview revealed hot water was delivered to resident’s bathroom and the water temperature was above 120 degree F. Staff interviews revealed that a new water boiler was installed, and the thermostat was set to a range from 115 degree F to 120 degree F. LPA toured the facility and tested the water temperature in residents’ rooms. The water was measured from 123.8 degree F to 125 degree F. Thus, staff did not fail to ensure hot water was delivered to residents for showers.

In regard the allegation of resident’s carpet and flooring are in disrepair affecting resident’s mobility, it was alleged that the carpet in resident’s room was dirty and the flooring in resident’s bathroom was in disrepair which affected resident’s mobility in the room. LPA interviewed resident#1, the interview revealed the room carpet had black stains/spots. Per staff interviews, staff denied the allegation. LPA conducted a physical plant and observed the resident’s room had stain /spots on the carpet and the resident’s bathroom had broken vinyl flooring at the entrance area. However, resident’s mobility was not observed to be affected by the dirty carpet and bathroom flooring.

LPAs will conduct a separate case management regarding the hot water and the resident’s room in disrepair.

Based on the information obtained during the investigation, interviews with staff, residents, review of resident files and LPA's observation, the investigation did not reveal any evidence to support the allegations mentioned above.