The complaint alleged that the facility's ceiling is covered with mold. On February 19, 2026, LPA Richard interviewed the Administrator (A1), who denied the allegation and stated that the facility has maintenance personnel who repair leaks, mold, and tears. That same day, LPA interviewed three staff members, #1-3 (S1-S3), who also denied the allegation and mentioned that the facility has a maintenance staff member who services the facility and residents' rooms. Additionally, six residents, #1-6 (R1-R6), were interviewed, and all denied seeing any mold on the facility's ceiling. Also, during a visit to the kitchen on February 19, 2026, LPA did not observe any mold in the ceiling of residents' bedrooms. LPA was unable to interview resident #1 (R1) because R1 moved out of the facility two days after admission on 05/20/23.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation (s) did or did not occur, therefore the allegation is unsubstantiated.

Allegation #2: Facility staff do not properly assist the residents with toileting needs.

The complaint alleged that they observed a resident with a pool of urine on the floor by the resident’s bed, and the couch was also soaked with urine where the resident sits also no hand-washing soap in the bathroom for the residents. On February 19, 2026, LPA Richard interviewed the Administrator (A1), who denied the allegation and stated that staff change residents' diapers every two hours and as needed. On the same day, the LPA interviewed three staff members, #1-3 (S1-S3), who also denied the allegation and stated that all staff change residents every 2 hours and as needed. The LPA also interviewed six residents, #2-7 (R2-R7), all of whom denied ever leaving with soiled diapers or not being properly assisted with toileting needs. Later that day, the LPA visited the rooms of 8 residents and found them clean; their residents appeared very dry. LPA also observed that hand soap is available in the bathroom. LPA was unable to interview resident #1 (R1) because R1 moved out of the facility two days after admission on 05/20/23.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation (s) did or did not occur, therefore the allegation is unsubstantiated.

The complaint alleged that the resident was moved from the hospital to the facility, released with medication, and that the facility gave the medication to the hospice nurse for safekeeping. On February 19, 2026, LPA Richard interviewed the Administrator (A1) and stated that staff followed the doctor's orders when helping residents with their medications. Resident #1 (R1) was admitted to the facility on 05/18/23 and was in hospice care. The hospice nurse was responsible for the patient, and the resident's family took R1 out of the facility two days after R1's admission on 05/18/23. A1 also mentioned that there were no issues with helping residents with their medications. That same day, the LPA interviewed three staff members, #1-3 (S1-S3), who also denied the allegation and stated that all staff assist residents with their medications as prescribed by the doctor. The LPA also interviewed six residents, #2-7 (R2-R7), all of whom denied the allegation and said that staff helped them with their medications and made sure their oxygen levels were maintained. On February 19, 2026, the LPA reviewed the Medication Administration Records (MARs) for 8 residents and found no discrepancies. The LPA could not reach resident R1 because R1 moved out of the facility two days after admission on 05/20/23.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation (s) did or did not occur, therefore the allegation is unsubstantiated.

No deficiencies were cited.

An exit interview was conducted, and a copy of this report was provided to the Administrator, Corpuz Ronaldo.