complaint·March 25, 2025

During the investigation process, most staff reported that they heard that there was a problem with the resident’s pads and briefs going missing; however, did not know why. It was reported that the issue was cleared up when the resident’s pads and briefs were locked and monitored through the facility’s medication room. Although the above allegation mentioned may have happened, or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred, and the above findings are Unsubstantiated . Facility staff do not provide a safe and environment for residents . During the interview process, the administrator and seven staff persons were interviewed. Documents were obtained to include resident observations, resident roster, Physician’s Report, Individual Service Plan, Resident’s Quarterly Report and staff names and cell numbers. During the investigation process, nearly all staff reported that a female resident is aggressive to staff persons and at times to other residents. Staff agreed that the resident cannot always help herself due to her diagnosis. Staff stated that they are available to intervene when necessary. Although the above allegation mentioned may have happened, or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred, and the above findings are Unsubstantiated . Facility is in disrepair . During the interview process, the administrator and seven staff persons were interviewed. Documents were obtained to include resident observations, resident roster, Physician’s Report, Individual Service Plan, Resident’s Quarterly Report and staff names and cell numbers. During the investigation process, it was reported that the resident’s (Resident 1) bedroom dresser was in disrepair. Staff were interviewed and nearly all stated that they were not aware of the resident’s dresser being in disrepair. Although the above allegation mentioned may have happened, or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred, and the above findings are Unsubstantiated .