Complaint Investigation Report

Interviews with staff confirmed that all residents were provided with meals as scheduled. No evidence supported the claim that food was denied to any residents. Staff and outside source interviews indicated that residents are checked and changed regularly. No specific instances of residents being left in soiled bedding were identified. Interviews with staff confirmed that the residents' floors are cleaned according to the schedule. Random checks during the investigation found the floors to be clean and well-maintained.

Inspections of residents' rooms and common areas did not reveal any hazardous items that were accessible to residents in memory care. LPA's observations of disposal practices showed that trash was properly disposed of according to facility protocols. The facility was found to be clean and sanitary during visit. Call light response times were reviewed, and interviews with staff and residents did not reveal significant delays a manual logs were not maintained. Response times were within acceptable limits as per the facility’s standards averaging 5 to 20 minutes depending on staffing and residents' needs.

The Department's investigation found that all the complaints against the staff were unsubstantiated. The facility's records, staff interviews, interview outside source, and direct observations support the conclusion that the care and services provided meet the required standards. A finding that is unsubstantiated means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred.

A copy of this report along with Licensee/Appeal Rights (LIC 9058) was mailed via USPS Certified Mail to the former licensee’s mailing address on file.