Complaint Investigation Report

The investigation revealed the following: Regarding allegation “Staff did not assist resident with dentist needs,” it was reported that facility staff have not assisted R1 with seeing a dentist to replace their missing dentures, R1 was missing top and bottom dentures and dental follow up has been repeatedly delayed. Interview with R1 revealed R1 stated they have attended dental appointments and have received new dentures. R1 was not able to confirm if they had missed any dental appointments. LPA reviewed documents for dental appointments scheduled for R1 for 08/22/25 impressions for dentures, 10/10/25 bite registration for dentures, 10/22/25 (rescheduled to 10/28/25) try on dentures, 01/27/26 pick up dentures and 02/16/26 adjustment to dentures. 6 out of 9 residents interviewed stated staff help make appointments and arrange transportation for appointments. 2 out of 9 residents stated they make their own appointments or family make appointments for them.

Regarding allegation “ Facility is unsanitary ,” it was reported that staff have not treated R1’s room for bugs even though the resident and the family have made multiple requests and staff did not address the unsanitary refrigerator in R1’s room that had an odor when opened. Interview with R1 revealed R1 stated they notified maintenance of a bug on the wall and maintenance “came and sprayed.” LPA reviewed maintenance log dated 02/08/26 indicating R1’s room was treated for bugs in room. LPA reviewed invoices for biweekly pest control services. Invoice dated 02/10/26 indicated R1’s room had been serviced for pest control, “no pest activity found inside the room.” 6 out of 9 residents interviewed stated they had not seen bugs in their rooms. R1 stated their refrigerator was working. LPA opened R1’s refrigerator and observed it to be clean and odorless at the time of visit. 9 out of 9 residents interviewed stated housekeeping cleans their room everyday and deep clean their room once a week which includes cleaning the refrigerator.