Complaint Investigation Report

(Cont from 9099) found outside the secured area without supervision. All staff interviewed revealed all staff provide adequate supervision and more including encouraging memory care residents to participate in social activities, and the majority do participate; those who do not typically have visitors present or receive frequent staff checks. LPA Smith also observed memory care residents visiting with family in the patio area and resident assistants conducting routine room checks. Interviews with seven (7) residents on the assisted living side indicated they had not seen any memory care residents wandering in areas where they did not reside. Based on observations and interviews there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.

Regarding the allegation: Facility is not equipped with sufficient hygiene supplies to meet the needs of residents in care.

It was alleged that due to insufficient incontinent supplies staff are using a wash and bathroom tissue when providing incontinent care. LPA Smith reviewed three (3) Mckesson Supply invoices dated February 3, 2026, March 3, 2026, and March 18, 2026, each invoice showed orders of one (1) to two (2) cases of wipes and/or gloves. During the visit, LPA Smith observed incontinence supplies in the stockroom, including wipes, gloves, and diapers, and random resident rooms also contained gloves, wipes, and diapers readily available for use. All staff interviewed denied using bathroom tissue or washcloths on residents when providing incontinence care. Four (4) resident assistants stated that staff are required to follow each resident’s care plan and use the proper items as trained, including some residents have sensitive skin or allergies to certain ingredients and can use only approved supplies for incontinence care. All residents interviewed reported no concerns related to the allegation and stated that staff have not used bathroom tissue on them during incontinence care. Based on records review, observations and interviews there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.

Exit Interview conducted/Copy of report given.