Complaint Investigation Report

Regarding allegation, “Staff are not meeting residents' dental hygiene needs” During interviews of staff #1 (S1-S4) on 6/24/24 and 1/10/25 all corroborate that the residents all have hygiene care to include cleaning dentures in the morning and at night. During interviews with responsible parties (RP1 – RP4) conducted on 1/13/25 revealed that dental hygiene is being provided. One of the four responsible parties stated that hygiene could be better after meals. LPA observed the dentures of residents who are not using them during this time to be in denture cups with denture cleaning solution. Based on Observation and interviews the preponderance of evidence standard has not been met.

Regarding allegation, “Residents are left in soiled clothing” During interviews of staff #1 (S1-S4) on 6/24/24 and 1/10/25 LPA observed that S1 stated laundry is done daily. S2-S4 stated clothes are checked and changed when needed and that residents are not left in soiled items. LPA conducted unannounced visits on 6/14/24, 6/18/24, 7/11/24, 1/10/25 and 1/13/25 and did not observe a foul odor in the facility nor on residents during the visits. During interviews with responsible parties (RP1 – RP4) conducted on 1/13/25 revealed that during unannounced visits, residents are not being left in soiled clothing and there is no foul odor present. Based on observations and interviews the preponderance of evidence standard has not been met.

Regarding allegation, “Staff are not meeting residents' grooming needs” During interviews of staff #1 (S1-S4) on 6/24/24 and 1/10/25 LPA obtained information that the Chief Operating Officer (COO/S1) makes unannounced visits and finds the residents to be cared for and in good spirits. S2-S4 stated that residents have showers, skin care with lotion and facial hairs groomed. There is a schedule for everyone but sometimes residents refuse at which time another staff would try to assist in that area. LPA observed a copy of the shower schedule which indicates R1 gets a shower 3 times a week. LPA observed other facility records which document dates that residents receive showers, oral care, and weighed to determine weight gain or loss. During interviews with responsible parties (RP1 – RP4) conducted on 1/13/25 revealed that residents are receiving groom care with hair and nails. In regards to the nail care, the facility has a podiatrist who visits, some go out in the community, staff files nails, and some family assist with the nail care. Based on interviews the preponderance of evidence standard has not been met.