Complaint Investigation Report

During visit on 01/10/2024, LPA Marrufo toured 5 occupied resident living units. LPA Marrufo observed a slight urine odor in one of the 5 observed living units. In another of the five observed living units, LPA Marrufo observed the closet to have a wet blanket that smelled of urine. A staff told LPA Marrufo that the staff had not yet laundered the blanket. R1 had already moved out of the facility before LPA Marrufo’s visit, so LPA Marrufo was not able to observe R1 at the facility.

During visit on 09/27/2024, LPA Partoza observed two occupied resident living units and did not observe any foul odor.

LPA Marrufo obtained a copy of R1’s Care Profile, dated 10/12/2023. R1’s Care Profile states R1 demonstrates reluctance to accept dressing or grooming assistance, reluctance to accept bathroom assistance, and reluctance to go to and from the dinning room or community activities.

S1 and S2 stated R1 would refuse help getting dressed. S1 and S2 stated R1 would hang R1’s used clothes and wear them again the next day. S1 and S2 stated staff would lay out clean clothes in front of R1 and attempt to encourage R1 to wear clean clothes, but R1 refused to change clothes. S2 stated that staff notified R1’s Responsible Person multiple times about R1’s refusal to change clothes. S5 stated that R1 would deny that his/her clothes were dirty and would refuse S5’s encouragement to change clothes.

S3 and S4 stated R1 would change clothes by himself/herself. S6 stated to have observed R1 to be dressed well.

On 09/27/2024, LP Martoza interviewed 3 staff, who all stated to have never observed a resident being left in the same clothes for 3 days.

LPA Marrufo obtained a copy of the Rent Roll document, which states on that 11/06/2023 there were 29 residents residing in the Memory Care unit.