complaint·February 27, 2026

On the allegations " Staff neglected resident after a fall, Facility did not provide adequate incidental medical care, and Staff not competent to provide care" the following was found: LPA conducted interviews and reviewed records. It was alleged that R1 sustained a fall in their room on 9/12/2025 that resulted in injury and that S1 was present at the time of the fall and did not provide assistance after the fall. It was also alleged that R1 was sent out to the hospital on this date and that police were notified because S1 alleged that R1 sexually assaulted them. Through record review and interview LPA found that S1 did not provide any type of in room assistance to R1 and that their position does not provide care. S1 also stated that they were not aware of any falls with R1 because they do not provide care and that they never alleged R1 or anyone else at the facility assaulted them in any way. LPA also interviewed the previous Executive Director who corroborated that S1 has never been alone with R1 and that S1 does not provide care or go to residents room. Previous ED also stated that there was a history of R1 making false claims against S1. LPA was unable to identify any information to support any of the claims made in the complaint. LPA observed that staff reviewed were up to date on their required training for their position. LPA attempted to interview W1 via phone call however LPA was unable to reach them. LPA also contacted R1's medical provider who stated there are no records of them visiting the emergency room in September 2025. Before delivering findings LPA received a phone call with additional confidential information. Therefore the above allegations are UNFOUNDED. This agency has investigated the complaint alleging Staff neglected resident after a fall, Facility did not provide adequate incidental medical care, and Staff not competent to provide care. We have found that the complaint was UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. Exit interview conducted and a copy of this report provided.