Complaint Investigation Report

The Department toured the bedrooms on the first and second floors. LPAs observed two rooms under construction being repaired do to water leak. Two out of five staff interviews stated that the construction is due to a clogged toilet on the second floor, seeping water into the first floor. Affected residents were immediately moved into other rooms. The facility made immediate repairs. The remaining staff did not add anything relevant to this allegation. Two out six residents interviewed stated they were moved to different rooms due to a flood. Four of the remaining residents did not add anything relevant to this allegation. One of the two residents interviewed stated that their room was completely flooded but wasn’t in the room when it happened. The other resident interviewed stated that there were repairs being made to their room and they were placed in another room for the time being. Both residents interviewed denied any health or safety concerns due to the hazard. Although there was water damage to the room, it did not affect the health and safety of R1 as the facility immediately moved the resident to a new room while the repairs were being conducted.

Regarding the allegation staff does not ensure facility is free from mold, it was reported that R1’s family purchased and used a mold test kit to test for mold near the sink, entryway, bathroom, and the bed. R1’s family stated the test confirmed mold was present in the room. The Department toured seven bedrooms in the lower and upper levels of the facility. The Department didn’t observe any mold at the facility at the time. Five out of five staff interviewed stated they have not observed any mold at the facility. Six out of six residents interviewed stated they have not observed any mold in their bedrooms.

Regarding the allegation staff did not provide services as agreed upon, it was reported that R1 had a scheduled medical appointment on June 16, 2026 at 8:40am and the facility did not assist R1 with the transportation. Per record review, R1 had an appointment scheduled on the respective time and date. This was documented on an appointment slip and the appointment book provided by the facility. One out of five residents interviewed stated they have used transportation services at the facility and did not indicate any issues with scheduling. Two out of six residents interviewed stated they do not use transportation services provided by the facility but know it’s available for them. Two out of the remaining residents interviewed did not add anything relevant to the allegation. Two out of five staff interviewed stated there are no concerns with transportation services scheduled and reminders are provided 15 minutes prior. One of the two staff interviewed stated on June 16, 2026, they had reminded R1 of the appointment.