Staff does not ensure facility is odorless- LPA Lund reviewed facility records and observed residents’ rooms, interviewed staff, and residents in care. Based on visits on 5/7/2025, 7/17/2025, 9/8/2025 and 12/4/2025, LPA Lund’s observation of the facility was that the facility was clean and in compliance at the time of the visits. LPA Lund reviewed housekeeper schedules and housekeepers work at the facility from 6:00 am through 6:30 pm throughout the week. Housekeeper clean rooms daily and when needed. Staff interviewed stated if a resident’s room needs attention either housekeeping or care staff will clean the room. Residents interviewed stated that their rooms are cleaned by staff.

Based on reviewed facility records, interviews with staff and residents in care, on the information provided, it was unclear if staff are not properly cleaning resident bedrooms, therefore the allegation was deemed UNSUBSTANTIATED.

Licensee does not ensure enough night staff to meet the needs of residents- LPA Lund reviewed facility records, interviewed staff, and residents in care. Based on staff schedules from 10/01/25 through 11/30/25 the revealed staff to be consistently residents in care on duty. LPA Lund interviewed residents in care who stated that their needs are being met. Staff interviewed stated that there is adequate staff to meet the needs of the residents in care.

Based on facility records reviewed, interviews with staff, and residents in care, on the information provided, it was unclear if licensee does not ensure enough staff are present to meet the needs of residents, therefore the allegation was deemed UNSUBSTANTIATED.

Based on facility records reviewed, interviews with staff and resident in care, on the information provided, it was unclear if staff leave residents in soiled clothing for extended period of time, therefore the allegation was deemed UNSUBSTANTIATED.

Staff does not ensure resident call buttons are in proper working order - Based on interviews with staff and residents in care. Staff stated that during each shift they receive a phone and radio for communication with other staff. The phone will go off when a resident uses the call button. Staff stated they get there in a timely manner. Residents in care stated that staff come when they use their call buttons.

Based on interviews with staff and residents in care, on the information provided, it was unclear if staff does not ensure resident call buttons are in proper working order, therefore the allegation was deemed UNSUBSTANTIATED.

As a result of this investigation, this Department finds the allegations to be UNSUBSTANTIATED. A complaint allegation finding of Unsubstantiated means that although the allegations may have happened or is valid, there is not preponderance of the evidence to prove that the alleged violations occurred. Exit interview conducted and report left.