Complaint Investigation Report

During interviews with staff, all staff stated the residents, and their rooms are always clean, and staff have never been witnessed residents with bowel movement under their fingernails. Staff stated the only time malodor is present is when residents has had a movement and when they are being changed. Staff added that residents are checked on every one (01) to two (02) hours or as needed.

Based on observations and interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.

---Facility has shortage of cleaning supplies.

It was alleged that staff bring cleaning supplies from home because manager told them that heavy duty cleaning supplies are not within the facility budget. To investigate the allegation, on 02/22/2024 LPA conducted a physical plant tour of memory care unit (Evergreen) at around 5:20 PM and interviewed four (04) staff between 6:00 PM to 07:00 PM. During the physical plant tour, LPA observed an overabundance of cleaning supplies. The cleaning supplies are refilled by a third-party agency as part of a subscription. During interviews with staff, all staff stated that they have never purchased cleaning supplies with their own money and that the facility has plenty of cleaning supplies available. Staff #1 added that a former staff once purchased a preferred cleaning supply but was immediately refunded and asked not to do it again.

Based on interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.

---Facility has insufficient staffing to meet the needs residents.

It was alleged that residents require extensive care and supervision and are left in bed. To investigate the allegation, on 02/22/2024 LPA requested documents at around 5:15 PM, conducted physical plant tour of memory care unit (Evergreen) at around 5:20 PM and interviewed four (04) staff between 6:00 PM to 07:00 PM. LPA was unable to interview residents. A review of the staff roster and schedule shows that there are three (03) caregivers and one (01) MedTech during each shift. During interviews with staff, all staff confirmed that there are three (03) caregivers and (01) MedTech during each shift.