Complaint·October 7, 2025

LIC9099-C (Page 2) Allegation: Staff do not treat resident with dignity and respect Finding: Unsubstantiated LPA interviewed Staff 2 (S2), who denied speaking rudely to Resident 1 (R1). S2 stated they always served R1’s food tray in the dining area and collected trays along with those of the other residents. LPA also interviewed Staff 1 (S1), who stated the facility does not use bleach in the laundry. S1 explained that a commercial laundry system is used to address stains. It was noted that the concern regarding staff treating residents without dignity and respect was substantiated in a prior complaint involving the subject resident and staff, and has already been addressed with the facility. Allegation: Staff are not serving food of quality to residents Finding: Unsubstantiated LPA interviewed R1, R2, R3, R4, and R5. All residents reported that the food served was acceptable. On 03/13/25 and 04/09/25, LPA observed lunch and dinner meals, which included a sandwich on wheat bread, lasagna, mixed vegetables, and wheat bread. The concern regarding food quality was substantiated in a prior complaint and has been addressed with the facility. Allegation: Staff retaliated against resident complaining Finding : Unsubstantiated On 03/13/25, LPA interviewed R1, who stated they did not want S2 to clean their room or provide care. R1 alleged that video footage showed S2 entering their room with Staff 3 (S3) while R1 was absent from the facility. LPA interviewed Staff 4 (S4), who currently works in the kitchen. LIC9099-C (Page 3) S4 denied retaliating against R1 and explained that, due to prior conflicts, they avoid interaction with R1. S4 reported that R1 verbally harassed them, including cursing, making derogatory comments, and threatening to call their family. S4 further stated that R1 has a special diet but sometimes eats their own food. Staff 1 confirmed that R1 maintains frozen meals for personal use. Regarding laundry, S1 reported the facility uses the “Omni” laundry system with detergent and sanitizer only, and bleach is not used. LPA toured the laundry room and observed no bleach present. 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 .