Complaint Investigation Report

Regarding allegations: 1.) Facility staff does not ensure resident’s room is adequately cleaned. 2.) Facility staff do not keep facility free from odor. During today’s physical plant tour, the LPA observed multiple client rooms and restrooms in need of cleaning. There were foul odors throughout some client rooms. The LPA observed two (2) client rooms with holes on the ceilings and walls. Throughout the time of the visit, the LPA observed the housekeeper washing clients’ clothing and linens as well as taking out the trash, cleaning client rooms and restrooms. Staff explained that they only have one (1) housekeeper, however other staff do assist with cleaning clients’ rooms and restrooms. Client interviews revealed that staff clean their rooms usually three (3) times a week. Client interviews expressed concerns regarding staffing shortages leading to staff being overworked and not being able to properly keep the facility clean. Based on the information provided by observations and interviews, the preponderance of evidence standard has been met, therefore the above allegations are deemed Substantiated at this time. The same deficiency was cited during the annual visit conducted on 03/24/2026 therefore it will not be duplicated on this complaint.

Exit interview conducted. A copy of the report and appeal rights were provided. Reports were emailed and mailed to the Licensee for signature.