complaint·November 4, 2025

LIC9099-C (Page 2) On 12/11/2024, LPA interviewed Residents (R2 and R3). Both residents stated that it can take up to 30 minutes for staff to respond to their call lights. LPA reviewed the facility’s call pendant report for December 2024, which showed no record of R1 activating their call pendant on 12/03/2024, 12/05/2024, or at any time during the month. The report also indicated an average response time of approximately 20 minutes. Allegation: Staff are not providing adequate food service for residents Finding: Unsubstantiated On 12/07/2024, LPA Alexander interviewed W1, who stated that on 11/26/2024, the dining room was messy around 12:30 p.m. W1 reported that the facility provides a menu to order from, but the food tastes as if it came out of a plastic bag. W1 further stated that the facility has served hot dogs in cold buns with potato chips and that the food quality is not reflective of what residents pay for. W1 also stated that a pasta dish was once served cold and expressed concern that R1 was not drinking enough water. On 12/11/2024, LPA interviewed Residents (R2 and R3), who stated that the food is sometimes cold and not always good. R3 further stated that the facility provides an “Anytime Menu” offering six entrees and five salads, which residents enjoy. LPA interviewed Staff (S2), who stated that the kitchen offers a variety of dishes daily and that residents can also order from the alternative menu. LIC9099-C Continued... LIC9099-C (Page 3) LPA reviewed the facility menu dated 10/28/2024 through 12/15/2024, which shows three meals per day with varying options. During observation of lunch and dinner service, LPA observed dining staff clearing dishes promptly and cleaning tables. Residents R4–R7 were also interviewed and reported that their meals were good and generally served on time according to the posted menu. Allegation: Staff did not ensure the elevator was not in disrepair Finding: Unsubstantiated On 12/07/2024, LPA Alexander interviewed W1, who stated that only one of the facility’s two elevators was working and that it was reported repairs could take approximately two months. On 12/11/2024, LPA interviewed Staff (S1), who confirmed that elevator #2 was not operational and that a service call had been placed with KONE for repair. S1 stated that the elevator would remain out of service pending the delivery of necessary parts. LPA reviewed a KONE service order dated 12/04/2024, which indicated the installation of a new elevator drive system for elevator #2. The report stated that the existing drive had failed and was obsolete, requiring engineering and manufacturing of a compatible replacement. Due to this, the repair process was expected to take several weeks to months. Although the allegations may have occurred or may be valid, there is not a preponderance of evidence to prove that the alleged violations did or did not occur. Therefore, all allegations are UNSUBSTANTIATED. Exit interview conducted and a copy of this report provided.