Complaint Investigation Report

Staff do not ensure that residents' rooms are cleaned.- UNSUBSTANTIATED

It was reported that the floor in the bedroom(s) are dirty and trash bags are piled in the bedroom(s).

During the facility’s annual inspection on 07/10/2025 LPA observed one client room to be extremely cluttered and dirty with food items in the room. LPA issued a physical plant citation during the annual inspection related to the uncleanliness of Client 1’s (C1’s) room.

On 08/18/2025 LPA received an email from the administrator which states on 08/23/2025 the administrator, facility staff and the behaviorist are going to complete the room cleaning for C1. LPA reviewed a housekeeping schedule specific to C1 that outlines various tasks that staff will complete on each day of each week specific to maintaining the cleanliness of C1’s room.

Service coordinator stated they visited the facility three or four times in the last month and found C1’s room to be progressively getting better.

It was determined that on 07/10/2025 LPA issued a citation to the facility regarding the uncleanliness of one client’s room. The facility has submitted a plan to address the uncleanliness of C1’s room that includes both immediate and long-term cleaning duties of staff working with C1 to maintain the cleanliness of the room. On 09/02/2025 LPA was informed that C1 had moved out of the facility on 08/30/2025.

Facility is malodorous. – UNSUBSTANTIATED

It was reported that there is an odor in the facility.

LPA toured the facility on 07/29/2025 and on 07/10/2025. The facility was not malodorous on either of these dates.

Service coordinator stated one time they observed a foul odor but that happened just the one time.

Administrator stated there are no incontinent clients living in the facility.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations occurred, and the findings are UNSUBSTANTIATED. No deficiencies cited. Exit interview conducted and a copy of the report was provided to administrator Tonya Foster.