complaint·April 29, 2025

At approximately 8:00AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced, to conduct an investigation into the above allegations. LPA met with Katelyn Formby, interviewed staff and reviewed records. Based on interviews and records reviewed, LPA did not find evidence to support the allegation that staff mismanaged medication. The medication is prepared in the medication room and taken to the residents room. Staff stay with resident to ensure medication is taken, then return the medication cup to the medication room. LPA inspected various resident rooms and did not observe any evidence of medications. Based on interviews conducted, LPA did not find evidence that staff violated residents personal rights. Residents diagnosed with dementia retain the personal right to engage in sexual behaviors and spend time with those they choose to be with. Staff are aware and observant for hostile actions between residents to ensure safety. Based on records reviewed and interviews conducted, LPA did not find evidence to support the allegation that facility is not providing care and supervision. Resident records show resident diet orders are for a regular diet with thin liquids. Oxygen orders are on an as needed basis. Hospice orders show to elevate extremities, but resident is able to move legs on an off the bed. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are Unsubstantiated.