complaint·April 24, 2025

Continued from LIC9099 Allegation: Staff are mismanaging residents’ medication During investigation, LPA reviewed the resident’s medication administration records (MAR), and a sample of medications and revealed, medications are being administered correctly and the MAR is being documented accurately. Allegation: Staff did not prevent resident from having access to medications During the investigation, LPA interviewed staff. S1 revealed during interview that the medicine cabinet are always locked, and keys are inaccessible to the residents in care. LPA observed a cabinet located in the kitchen area with residents’ medication. LPA observed the cabinet to be locked, and medications were inaccessible to residents in care. Allegation: Staff makes inappropriate comments towards residents During the investigation, LPA interviewed two (2) residents and two (2) staff members. R1 and R2 stated they have never witnessed any inappropriate comments towards any of the residents, staff at the facility is nice and caring to the residents. During the interview with staff, S1 and S2 stated, staff at the facility treats the residents with respect and dignity. Continued on LIC9099C Continued from LIC9099C Allegation: Staff did not provide resident with appropriate bedroom accommodations During the investigation, LPA toured the facility and observed five (5) bedrooms, four (4) private bedrooms and one (1) shared bedroom. LPA observed all five (5) bedrooms to have proper lighting, bedding, lighting and comfortable for residents in care. Allegation: Staff are not providing adequate food service to residents During the investigation, LPA interviewed staff and residents, S1 and S2 stated meals are prepared daily, staff also stated they're open to changing the menu upon residents’ request. Interviews with R1 and R2 revealed, R1 and R2 loves the food provided daily, and staff is open to making meals upon request, if there's something on the menu the residents doesn't want. LPA observed there were a minimum of 7 day of nonperishables and 2 days of perishable foods available for residents in care. Based upon the information obtained during investigation, the above allegations is unsubstantiated. A finding that the complaint is UNSUBSTANTIATED means that although the allegations 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 this report provided.