Complaint Investigation Report

Regarding the allegation Staff do not follow reporting requirements. Facility staff and Reporting party both stated Staff 1 was not reporting all incidents involving residents medications, administering of medications, and communication with home health to resident 1's responsible party. Based on interviews conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

Regarding the allegation Staff did not ensure resident's showering needs are met. The facilities care notes document Resident 1 was not consistently showered. The care notes document three showers, and one shower refusal during the months of August, September, and October 2025. The care notes document showers on 08/05/2025, 09/01/2025, and 10/06/2025, and the one refusal on 09/29/2025. The facilities shower log does not have resident 1 listed Based on records reviewed, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

The following deficiencies are cited Per Title 22 Regulations. Exit interview conducted with facility Administrator Kim Santos. A copy of this report was provided at the time of visit