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32 | Allegation: Facility is in disrepair.
Licensing Program Analyst (LPA) Khurshudyan conducted a complaint investigation regarding the allegation listed above. During the investigation, LPA conducted interviews with the Administrator, Staff, and Residents, and inspected the facility including the 1st and 2nd floor memory care areas. During the physical plant inspection, LPA observed areas of the facility requiring cleaning, repair, and /or maintenance including dirty walls and floors within the dementia Memory Care Unit. Interviews and observations supported concerns that the facility had not been consistently maintained in a clean, safe, and good state of repair. During the inspection, LPA observed that rooms 115 and 117 are currently under construction and was informed that the facility is undergoing a repair plan; however, the estimated completion time is approximately one year. Based on interviews conducted and LPA's observations there is sufficient information and evidence to support the allegation. Therefore, the allegation that the facility is in disrepair is substantiated.
Allegation: Staff did not maintain facility at a comfortable temperature for residents.
Licensing Program Analyst (LPA) Khurshudyan conducted a complaint investigation regarding the allegation listed above. The reporting party alleged that several rooms in the 1st and 2nd floor memory care units including rooms 109, 115, 125, and 226 were excessively hot and that residents reported feeling hot while lying in bed. During the investigation, LPA conducted interviews with the Administrator, Staff, Residents, and measured temperatures in resident rooms and common areas. LPA’s observations and / or temperature readings revealed that portions of the facility were maintained at an uncomfortably warm temperature. Resident interviews also corroborated concerns regarding excessive heat in their rooms. The facility was unable to demonstrate that comfortable temperatures were consistently maintained for residents during the period of 8/1/26 to 8/20/26. During the visit, LPA Khurshudyan observed that part of the facility does not have a central air conditioning system, and portable/mini-AC units are installed on the walls in the hallways and inside residents’ rooms. LPA checked the temperature inside the random residents’ rooms, which measured between 68°F and 70°F, a comfortable range. However, residents interviewed confirmed that past couple of weeks they have experienced hot temperature inside their rooms and the AC units were not working properly. Although, the hallway AC unit displayed a temperature of 62°F, LPA noted that it was not blowing cold air, and the hallway temperature was hot and uncomfortable. Based on interviews and LPA’s observations, there is sufficient evidence to support the allegation. Therefore, the allegation that staff did not maintain facility at a comfortable temperature for residents is substantiated. Continue on LIC9099-C
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