Allegation: Staff did not ensure that the facility had a working water source.

It was reported that the facility was without water for over 24 hours and during this period, residents were unable to flush toilets or use the sink. To investigate this allegation, LPA conducted records review of facility’s maintenance/service invoices and incident reports. Made observations to the facility’s water system, kitchen, common bathrooms, and resident rooms. Conducted interviews with Staff and residents residing in the facility. During the visit, LPA observed that the facility had running water in the kitchen, resident restrooms, and staff areas. Interviews with residents and staff confirmed that there was a temporary water disruption on October 6^th, 2025. The community discovered a water leak which was due to a city pipe and the community had no control over that. Documentation reviewed showed that the staff promptly notified the water company and the issue was resolved within few hours. A letter was immediately served to residents and responsible parties notifying them regarding the issue with community’s water system. Interviews with staff and residents confirmed that although there was an issue with water system, all residents continued to have access to toilets, food, and water. Residents also confirmed that they were provided with gallons of water in their rooms and that the facility took appropriate action and their needs were met during the water outage issue. Residents also added that dining room was open as well and the kitchen did not get affected by the water outage.

Based on the information obtained through interviews, records review and observation, there is insufficient evidence to support the allegation. Therefore, the allegation listed above is deemed Unsubstantiated at this time.

Continue on LIC9099-C

It was reported that the facility was without water for over 24 hours and during this period, residents did not take their medications, and residents did not receive the care agreed upon (RP did not state exact care). To investigate this allegation, LPA reviewed the medication administration records (MAR) and compared with the Physicians orders records indicated that residents’ medication was administered as prescribed. Interviews with residents, staff responsible for medication administration, and the facility General Manager confirmed no missed or incorrect medications observed and all medications were provided timely. Additionally, all interviewees stated that they are very pleased and happy with the care and supervision they receive in the facility and denied ever being mistreated or ignored by the staff especially during the water outage. Interviews with residents who are independent and administer their own medications stated although they are responsible for their own medications, the Health and Wellness staff do assess them every six (6) months or as needed, and if there is a change in their medications it gets reported and documented. Interviews with Residents who require medical care and do not administer their own medications, stated that Med-techs and LVNs never miss their medications, and they never had any issues of not receiving their meds or receiving them late.

Based on the information obtained through interviews, records review and observation, there is insufficient evidence to support the allegation. Therefore, the allegation listed above is deemed Unsubstantiated at this time.

No deficiency cited during today’s visit.

Exit interview conducted, copy of the report delivered.