complaint·February 18, 2026

Allegation: Staff do not treat resident with respect Investigation Finding: Unsubstantiated During investigation, LPA conducted interviews with reporting party (RP), residents (R1, R2, R3, R4) and facility staff (ED, S1, S2, S3, S4, S5, S6) and reviewed resident (R1) documents. Staff (ED, S1, S2, S3, S4, S5, S6) denied calling R1 derogatory remarks and did not witness other residents bully him. R3 stated she has been living at the facility since July 2025 and is constantly with R1 eating their daily meals at the common dining hall and participating in recreational activities together with other residents and staff. R3 stated she did not witness any resident or staff call R1 names or bully him. R3 stated that R1 is experiencing paranoia and would not listen to her. ED and S6 also stated they did not observe any resident or staff calling R1 derogatory remarks or bully him while in care. Other staff (S1, S2, S3, S4, S5) and residents (R2, R3, R4) denied making derogatory remarks towards R1 or harass him. RP also stated that she did not observe R1 being called derogatory names or being bullied by staff during visits. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation that staff do not treat resident with respect is unsubstantiated. Continued on next page, LIC 9099-C pg1 Allegation: Staff do not intervene when residents bully other residents Investigation Finding: Unsubstantiated During investigation, LPA conducted interviews with reporting party (RP), residents (R1, R2, R3, R4) and facility staff (ED, S1, S2, S3, S4, S5, S6) and reviewed resident (R1) documents. Staff (S1, S2) stated they would greet R1 at the start of their recreational activities with “Good Morning, how are you” and he would get agitated and reply back to them that they were calling him derogatory remarks and bullying him. Staff denied calling him names or bullying him. Staff (S1, S2, S3, S4, S5, S6) stated they always intervene and redirect residents whenever there is an argument or agitation among residents. R3 stated she is with R1 at the facility during meals and recreational activities daily. She stated she did not observe any resident or staff call R1 names or bully him. Other r esidents (R2, R3, R4) also stated that they did not witness any resident or staff bully R1 or call him names. Review of incident reports dated 01/20/26 and 02/11/26 showed staff intervened and redirected aggressive residents from other residents and staff notified responsible parties, primary care physicians and called 911 for evaluation and treatment. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation that staff do not intervene when residents bully other residents is unsubstantiated. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided