To investigate this allegation, LPA conducted an interview with the Administrator who denied the allegation and stated that no complaints were received from the residents regarding missed showers. Additionally, the Administrator stated that the facility maintains an established shower schedule tailored to each resident’s needs and preferences. The Administrator reported that all residents are provided with at least two (2) showers a week or as needed. Staff interviewed denied the above allegation and reported that they do meet residents’ showering needs and always ensure residents’ hygiene needs are addressed. Furthermore, staff indicated that they assist residents with bathing according to their care plans and residents’ preference. Staff stated that residents are regularly offered showers, and if a resident declines, the shower is rescheduled for later the same day or the following day. Five (5) residents interviewed stated that staff offer showers regularly. Residents also reported receiving assistance as needed and did not express concerns about missing showers. Lastly, during the facility tour, the LPA observed residents appeared clean, groomed, and appropriately dressed. Shower areas were clean, stocked, and accessible. Based on interviews and LPA observation, there is not enough evidence to support the allegation. Therefore, this allegation is deemed Unsubstantiated at this time.

Staff do not ensure the facility is properly maintained

To investigate this allegation, LPA conducted an interview with the Administrator, who reported visiting the facility daily and stated they have not observed any maintenance problems. The Administrator added that any issues reported by residents or staff are addressed promptly. One (1) staff interviewed reported that they follow daily cleaning routines, promptly inform the Administrator of any repair needs, and regularly clean common areas, resident rooms, and bathrooms. Staff denied that the facility is poorly maintained. Five (5) residents interviewed expressed that the facility is generally clean and well-kept. Residents reported that staff respond to any concerns they bring forward, such as minor repairs or cleanliness issues. Lastly, during the physical walk through, LPA observed that the facility appeared clean and in good repair. Common areas and resident rooms were free from clutter, and bathrooms were clean and stocked. No immediate maintenance issues or hazards were observed. Therefore, based on interviews and LPA observation this allegation is deemed Unsubstantiated at this time.

Continue on LIC9099-C

To investigate this allegation, LPA conducted and interview with the Administrator who denied the allegation and stated they have not received complaints or witnessed staff speaking inappropriately to residents. The Administrator stated that staff are trained on resident personal rights, respectful communication, and professional conduct during orientation and ongoing in-service training. The Administrator reported that any misconduct is addressed immediately in accordance with the facility’s employee discipline policy. Staff interviewed reported that they are expected to speak respectfully to residents at all times and are trained in the facility’s house rules and personal rights policies. Staff denied speaking inappropriately to any residents and stated they communicate calmly and professionally when providing care or redirecting behaviors. Five (5) residents interviewed stated that staff generally speak to them in a respectful manner. Residents reported feeling comfortable approaching staff and did not report any incidents of staff using inappropriate or disrespectful language. No residents corroborated the allegation. LPA reviewed the facility’s employee misconduct policy, house rules, and resident personal rights postings. The documents outline expectations for professional conduct, respectful communication, and procedures for addressing inappropriate staff behavior. Lastly, during the facility tour, LPA observed staff interacting with residents in a calm, respectful manner. Staff were observed offering assistance and responding to questions politely. No inappropriate communication was observed during the visit. Therefore, based on interviews and LPA observation, this allegation is deemed Unsubstantiated at this time.

Staff do not provide adequate food service

To investigate this allegation, LPA conducted an interview with the Administrator and was informed that they purchase groceries once a week (Saturday) or as needed. The Administrator denied the allegation and stated that the facility provides three (3) meals per day and snacks in accordance with Title 22 requirements. The Administrator reported that the facility follows the weekly menu, food orders are placed regularly, and staff are trained to ensure meals meet nutritional guidelines. Staff interviewed stated that adequate food supplies are maintained in the facility and that meals are prepared fresh daily. Staff reported that residents are offered substitutes if they do not prefer the main meal and that snacks are available between meals.
Continue on LIC9099-C

No deficiency issued during today's visit.

Exit interview conducted and copy of this report signed and delivered.