complaint·June 16, 2025

Continued from LIC9099 staff roster with contact telephone numbers, resident’s roster with apartment numbers, device activity report (call button), maintenance log (work orders), housekeeping cleaning checklist were obtained and reviewed. Illegal eviction During the investigation, LPA reviewed an eviction notice issued by the licensee on 03/18/2025. After reviewing eviction notice, the 30-day notice does meet requirements in regulation 87224. Facility staff did not ensure resident took medications as prescribed During investigation, LPA reviewed Medication Administration Record (MAR) and observed R1’s medication was administered as prescribed. Facility staff did not ensure resident's call pendant was working During investigation, LPA reviewed work orders and toured R1 room and observed call button on the wall near bed and in the restroom was in operating condition. LPA also reviewed the work order report and did not see any reported issues with the call button for room #2 . Facility staff did not ensure resident's bedroom light was working During interviews, it was revealed the facility changed the light bulb at the entrance of residents’ room the same day the light bulb went out. Continue on LIC9099C Continued from LIC9099C Facility staff did not ensure resident's bathroom had toilet paper During interviews and document review, it was revealed that housekeeping clean residents’ room weekly, replaces toilet tissue during the time of cleaning, if a resident needs toilet tissue in between the cleaning schedule it is replaced or if housekeeping sees toilet tissue running it will be replaced with a new roll. Facility staff did not safeguard resident's belongings During interviews, it was stated that R1 walks around with his box and leaves the box in random places such as dining room, activity room and television room in memory care. It was also stated that staff has found the box many times and returned it to the resident. Facility staff did not prevent residents from engaging in inappropriate behaviors towards each other During the investigation and review of documents, staff did take the proper steps in separating both residents during the time of the altercation and monitoring both residents after inappropriate behavior acts. The facility notified CCL , resident’s responsible person and has reached out to R1’s physician for a possible medication adjustment for new aggressive behaviors. Based upon the information obtained during investigation. The above allegations are unsubstantiated. A finding that the complaint is 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 violation occurred. Exit interview conducted and a copy of report was given .