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13 | At approximately 12:45 p.m. on 01/22/26 Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced complaint visit. LPA met with the administrator and disclosed the reason for the visit.
To investigate the allegations above, LPA conducted an initial visit on 10/01/25 and interviewed staff and at least 10% of residents [eleven (11) out of one-hundred nine (109)] between 8:15 a.m. and 12:45 p.m., toured the facility inside and out at 11:00 a.m., and conducted a record review of pertinent records, including but not limited to an admission agreement, medical assessment, care plan, and client roster at 12:00 p.m. Today, LPA toured the facility at 1:00 p.m.
Regarding the allegation "Staff left resident in soiled diapers for an extended period of time" and "Staff did not ensure they have enough linens for residents" it was alleged Resident #1 (R1) was left in a soiled diaper for over thirty (30) minutes and staff did not supply enough fresh bedsheets afterwards. |