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32 | The investigation revealed the following:
Allegation 1: Licensee does not ensure that facility is maintained in a good condition.
On 1/20/2026 LPA conducted interview with Staff members 1-7 (S1-S7) and 7 out of 7 staff stated that the facility is maintained in good condition residents rooms are cleaned daily and the facility common areas are cleaned throughout the day, however when issues or concerns need to be addressed the maintenance director Frank is informed, and the repairs are usually made immediately. Additionally, residents have not informed them of any issues/or concerns.
LPA also conducted interviews with Residents 1-8 (R1-R8) and attempted to interview residents 9-13 (R9-R13). The interviews with residents R1-R8 revealed that they have not had any issues or concerns and when staff members are informed of a problem their issues or concerns are addressed. They also stated they believe the facility is maintained in good condition.
On 1/20/2026, LPA did not observe any clutter, debris or obstructions throughout the facility or in residents’ rooms it appeared that the facility and rooms appeared to be maintained in good condition.
Allegation 2: Licensee does not ensure that the facility is kept free from mold.
On 1/20/2026 LPA conducted interview with Staff members 1-7 (S1-S7) and 7 out of 7 staff stated that there were leaks in the ceiling in three (3) rooms and mold was not observed, however the maintenance director Frank was informed, and the repairs were made immediately.
LPA also conducted interviews with Residents 1-8 (R1-R8) and attempted to interview residents 9-13 (R9-R13). The interviews with residents R1-R3 revealed that there were leaks in their rooms but there was no visible mold and Frank was informed and repairs were immediately repaired. R4-R8 stated that they have not had any leaks or mold in their room. The remaining residents, R9-R13, were not available to be interviewed during the investigation.
On 1/20/2026, LPA did not observe any of the following deteriorating dry wall scattered on the floor, clutter, or a visible hole in the ceiling, or mold growth on the ceiling surface throughout the facility or in residents’ rooms. It appeared that all repairs were made on or before 1/20/2026.
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