Complaint Investigation Report

During today’s visit, LPAs requested resident /staff rosters, and conducted a physical plant tour, to ensure health and safety of the residents are protected and physical plant is in compliance with Title 22 Regulations. No health and safety hazards were noted during the visit.

Allegation: Staff do not ensure the facility is free of foul odors.

It was alleged that the facility hallway smells of urine and feces. To investigate the allegation, LPA toured the Assisted Living (AL) and Memory Care (MC) hallways, common areas, and residents’ rooms. During the tour LPA did not observe strong or persistent odors of urine/feces. Interviews were conducted with nine (9) residents residing in the MC and AL, the Executive Director, Memory Care Director, and six (6) Staff/Caregivers. The majority of residents described the facility as generally clean and odor free. Residents who were able to communicate stated that the housekeepers do daily light cleaning and weekly deep cleaning to their rooms. LPA checked random residents’ rooms and observed trash bins to be empty, and no soiled diapers were present inside residents’ rooms. Interviews with staff members stated that occasional short-lived odors may happen and described procedures for promptly cleaning incontinence related incidents happening in common areas and removing soiled linens and trash. All interviewees denied ongoing odor concerns and confirmed that hallways and common areas are cleaned and sprayed daily. Based on observations and interviews, the allegation that staff do not ensure the facility is free of foul odors is Unsubstantiated.

Allegation: Staff do not ensure the food being served is of good quality.

It was alleged that the Staff do not ensure the food being served is of good quality. To investigate the allegation, LPA interviewed nine (9) residents residing in the MC and AL, the Executive Director, Memory Care Director, the Chef and six (6) Staff/Caregivers. LPA observed the meal service and reviewed the facility’s description of menu planning and substitutions. Residents interviewed regarding meal quality, variety, and whether they were regularly served poor quality food. Residents confirmed that meals are acceptable and varied. Residents also stated that there is always alternative food for each mealtime and added that variety of sandwiches are always available as a substitute for the main meal. Interviews with staff members stated sandwiches are served at times as part of meal options when residents refuse the main meal.