Complaint Investigation Report

During LPA visit on 1/6/2025 LPA and Administrator Adam Bramwell toured the facility noting R1’s bathroom with yellow and brown dried substances on the toilet seat, brown dried spots on the bathroom floor, and the bathroom had a strong urine and fecal odor. Additionally in R1’s room multiple kitchenette cabinets had dried substances on the inside shelving, one drawer had a large spot of orange liquid spilled in it, another drawer contained a stained brown decorative pillow, the sink had dried food debris in it, and in the cabinet under the sink drainpipe the wood was stained, warping, and had multiple light grey, dark grey, and black spots. Upon inspecting all of the rooms in the Connections Neighborhood, memory care unit, the LPA and Administrator observed three additional resident rooms with grab bars, light switches and toilet seats with dried yellow and brown substances, all having a strong urine/fecal odor. Multiple stains were noted in the public hallway carpet in memory care with staff interviews revealing one of the carpet stains, brown in color, to be feces. Interviews revealed multiple staff had reported that specific stain to leadership on 1/5/2026. LPA photographed all the mentioned areas.

Based on observation and all interviews conducted, at this time the above allegation was found to be substantiated , there is a preponderance of the evidence to prove that the alleged violation occurred.

Exit interview conducted, deficiencies cited on LIC9099-D page, report signed, appeal rights and report provided to the Administrator.