Complaint Investigation Report

It was alleged that staff damaged Resident #1 (R1)’s duvet cover after washing it. Interviews with staff, ED, R1, and R1’s responsible parties confirmed that the duvet cover faded in color after it was washed by a staff member. The color faded from bronze to gray. The facility was notified of the damage to the duvet cover on 08/28/2025 and on 09/05/2025, a $207.43 credit was issued by the facility to R1/responsible parties for a replacement duvet cover. Interviews also confirmed that R1 was not left without a blanket and that the facility ensured R1 had appropriate bedding. Based on interview and record review, the allegation “Staff damaged a resident's personal item” is deemed SUBSTANTIATED at this time. However, the LPA determined that there is no direct impact to the residents, presented no danger, and did not effect the overall operation of the facility. This is considered a technical violation and no citations are being issued at this time.

Exit interview conducted. A copy of today's report was provided