complaint·November 12, 2025

It was alleged that staff mismanaged resident's medication; however, based on the investigation, including interviews, record reviews, and observation, there was insufficient evidence to support the allegation that staff mismanaged a resident’s medication. Medication administration records and staff documentation were consistent with prescribed orders, and no discrepancies were observed during the review. Staff demonstrated appropriate medication handling and administration procedures in accordance with facility policy and regulatory requirements. Allegation: Staff speak inappropriately to residents in care During the course of the investigation, LPA conducted 6 staff and 6 residents' interviews. It was alleged that staff spoke inappropriately to residents in care. Based on the investigation, including interviews with 5 staff, 6 residents, and a review of relevant records, there was insufficient evidence to support the allegation that staff spoke inappropriately to residents in care. Residents interviewed did not report instances of verbal mistreatment, and no witnesses or documentation corroborated the allegation. Staff demonstrated appropriate and respectful communication with residents during observations. Based upon interviews conducted and records reviewed, LPA has investigated the above allegations and found that it is Unsubstantiated. A finding that the complaint allegation/s are Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview is conducted, and a copy of this report is provided.