Complaint Investigation Report

Regarding the allegation, staff do not ensure the facility is clean and sanitary, according to the reporting party, staff were not taking out R1's trash and it was overflowing.

During the investigation, LPA reviewed R1's service plan and observed a random sample of rooms, including R1's room at the time. Based on observations, rooms were observed to be clean and odor-free. LPA did not observe trash on the room floors. Based on R1's service plan reviewed, R1 required no assistance beyond routine weekly housekeeping. According to staff interviewed, and R1's charting notes, R1 refused housekeeping/cleaning services.

Regarding the allegation, staff do not ensure resident's laundry is being done, according to the reporting party, it was observed R1's laundry was sitting in a pile on the floor and was not done.

During the investigation, LPA reviewed R1's file and interviewed staff. LPA was unable to interview R1 as R1 passed away. According to R1's service plan, R1 required weekly laundry service and independently manages additional laundry needs. According to staff interviewed, and R1's charting notes, R1 refused housekeeping/cleaning services.

Regarding the allegation, staff do not ensure resident's bedding is clean, according to the reporting party, it was observed that R1's bedding was soiled.

During the investigation, LPA toured and observed a random sample of rooms including R1's room at the time. and interviewed staff. LPA observed all rooms to have clean bedding. According to staff interviewed, laundry is done once a week per residency agreement, however if residents require laundry to be done more often then it would be added to their service plan. According to staff interviewed, and R1's charting notes, R1 refused housekeeping/cleaning services.

Regarding the allegation, staff are mismanaging resident's medications, according to the reporting party, on 2/10/26, R1's hospice nurse called R1's responsible party to notify him/her that R1's morphine was missing and that R1 did not receive morphine for a week.