Interviews conducted indicated that staff are checking on residents for incontinence support. Staff will take residents to the restroom before or after meals, before and after activities and whenever requested by the resident. Interviews with residents indicated that they feel their toileting needs are being met. Residents stated that they do not have to wait long for assistance and are checked on frequently to see if care assistance is needed. Residents interviewed did not have any complaints regarding toileting needs. Therefore, the allegation staff left resident in soiled diaper for an extended amount of time is unfounded.

Due to lack of staffing residents’ needs are not being met.

Interviews conducted with residents indicated that their needs are being met and there are no complaints regarding staff care. Staff are attentive and polite without issues. Interviews indicated that there are plenty of staff to assist with toileting, bathing and activities. Observations indicated that staff are assisting with residents care, cleaning rooms and checking on residents who are in their rooms. Therefore, the allegation due to lack of staffing, residents’ needs are not being met is unfounded.

Facility is malodorous.

Observations made during walk through on 07/21/2026 and 08/04/2026 of the building and grounds indicated that no odors are present in common areas or resident rooms. Interviews conducted indicated that there a occasional smells noted but it is only after changing a resident or if a resident has an incontinence accident. Staff are constantly aware of any smells or odors that may arise and are quick to clean up. Therefore, the allegation facility is malodorous is unfounded.

Staff do not follow proper food practices/preparations.

Records reviewed indicated that all kitchen staff are properly trained on food practices and preparations. All food preparation staff have current certificates for food preparation and sanitation practices. Observations indicated that staff in the kitchen were following food preparation practices and using gloves when preparing food. Staff were seen passing out foods to residents seated at the dining tables in both Assisted Living and Memory Care units. Food came straight from the kitchen on covered carts and given straight to the residents at tables. Therefore, the allegation staff do not follow proper food practices/preparations is unfounded.

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Observations indicated that staff were actively cleaning resident rooms, common areas and bathrooms used for resident or guest use. Housekeeping was seen cleaning resident rooms and ensuring no cross contamination was occurring between rooms. Staff seen using gloves while assisting residents in care and changing gloves for new use. Chairs and tables were clean and sanitary. Interviews conducted indicated staff are trained in proper cleaning protocols and they feel that the facility is clean and sanitary. Residents interviewed have no complaints regarding the cleanliness of the facility. Therefore, the allegation staff do not follow proper sanitary practices is unfounded.

Based on records reviewed and interviews, LPA finds the above allegations to be UNFOUNDED- meaning that the allegations were false, could not have happened and/or is without reasonable basis. Exit interview conducted with the Administrator. Copy of report was given to facility.