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32 | Water Temperature Recordings for June and July 2026. The recorded water temperatures met the regulatory minimum and maximum temperature requirements. Water temperatures are checked weekly in different locations. Per interview with S3 on 7/21/26, since 7/13/26, while the Maintenance Manager has been on vacation, the Maintenance Assistant, S3 has been overseeing maintenance operations. During this time, the domestic hot water temperature has been dropping overnight. To ensure residents are able to shower as scheduled, S3 has been resetting the water heater temperature each morning and monitoring throughout the day. Per interview with the Executive Director, S1, once given notice of problem with the hot water, a technician was called and scheduled to come to the facility on 7/21/26. Upon review of the invoice from Ironwood Plumbing dated, 7/21/26, a part was replaced and the water heater is up and running at this time.
LPA interviewed staff 1 – staff 6 (S1 – S6). Of those interviewed 6 out of 6 denied the allegation. LPA interviewed resident 1 – resident 6 (R1 – R6). Of those who interviewed 6 out of 6 denied the allegation.
Based on information gathered, LPA did not find sufficient evidence to support the allegation “Facility water system is in disrepair,” therefore, the allegation is unsubstantiated.
Allegation: Staff do not ensure that residents' showering needs are met while in care
It is being alleged that R6 isn’t able to have showers as scheduled by home health due to water temperature issues. On 7/21/26 LPA Shirley received copy of Outside Agency/Services Documentation from Caring Cove Home Health (CCHH) dated, 6/27/26. CCHH sends a Technician to Brittany House every Wednesday and Saturday to give shower services to R6. On 7/21/26 LPA Shirley called to verify R6’s service history. LPA Shirley was informed that the last service was completed on Saturday, 7/18/26, and the next scheduled service is tomorrow, Wednesday, 7/22/26. The Representative Annie verified service with the technician which stated that they did not report any issues with the water during previous service appointments.
LPA interviewed staff 1 – staff 6 (S1 – S6). Of those interviewed 6 out of 6 denied the allegation. LPA interviewed resident 1 – resident 6 (R1 – R6). Of those who interviewed 6 out of 6 denied the allegation.
Based on information gathered, LPA did not find sufficient evidence to support the allegation “Staff do not ensure that residents’ showering needs are being me while in care,” therefore, the allegation is unsubstantiated.
No deficiencies were cited for these allegations.
An exit interview was conducted and a copy of this report was provided to the Executive Director, Esperanza Naaktgeboren.
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