Complaint Investigation Report

Allegation: Facility is not providing incontinence care

Interview with hospice services indicated that they have no concerns regarding the facility providing resident (R1) incontinence care. Interview with staff (S1) indicated that R1 receives incontinent care every two (2) hours. Interview with staff (S2) indicated that they have never witnessed staff not providing incontinent care to residents that require assistance. Interview with staff (S3) indicated that all residents that require incontinent care are receiving assistance from staff. Interview with the Health and Wellness Director, Maria Pena, indicated that R1 requires incontinence checks every two (2) hours. The Health and Wellness Director indicated that resident (R2) will inform staff when they need to use the restroom. Also, staff cue resident to use the restroom. On November 7, 2025, LPA observed R1 and R2 to be clean as well as each resident having plenty of incontinent care supplies on hand for staff to provide care.

Allegation: Facility is not providing adequate food services

On November 7, 2025, LPA toured the kitchen area for the ability to prepare and store food. The kitchen appeared to be in good repair, and the care home had the required 2-day perishable and 7-day nonperishable food supply on hand. The meal menu for the month of November indicated a variety of food offered to the residents in care. LPA observed that the staff supply the bistro areas in the facility with snacks for the residents. LPA observed several residents eating in the dining room. LPA also observed S1 providing mealtime assistance to R1. Interview with hospice care services indicated that they have no concerns regarding R1’s eating habits. Interview with S2 indicated that residents are provided with adequate food services and have plenty of food options. Interviews with S3 indicated that they have never witnessed residents not receiving enough food and that residents are also offered snacks twice during a shift. Interview with resident (R3) indicated that the food services are good and the type of cooking is good. Interview with resident (R4) indicated that the food is good and that they are getting enough food.

Allegation: Facility is not providing care and supervision to residents

On November 7, 2025, LPA toured the facility and observed several residents eating in the dining room, watching television, and interacting with care staff. Residents appeared clean and LPA observed staff providing care to residents. R1 was receiving mealtime assistance from S1. R2 was interacting with staff in the dining room. Interview with S2 indicated that they have never witnessed staff not providing care and supervision. Interview with hospice services indicated that they have no concerns regarding staff providing care and supervision and that R1 always appeared clean. Interview with S2 and the Health and Wellness

**********************************************Continued on LIC9099-C*****************************************************