Complaint·January 12, 2026

Licensing Program Analyst (LPA) Katie Brown arrived unannounced to conduct the initial complaint visit. LPA met with and discussed the allegation with Administrator (AD) Deanne Edwards. During this visit, LPA conducted interviews and reviewed facility documentation. The facility hosted a holiday celebration on 12/31/25 which included residents, staff and family members. On 1/1/26 though an activity calendar had been posted, Activity Department staff had scheduled time off resulting in the schedule for the day needing to be modified. Other facility staff were available to assist residents with alternative activities. Based on interview and record review the above allegation is UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation did or did not occur. There were no citations issued. An exit interview was conducted and a copy of this report was provided.