Complaint·September 12, 2025

Based on observation and interviews, regarding the allegation Staff do not ensure the facility is properly maintained, it was revealed sprinkler system has been broke for about a week however facility is in the process of fixing. LPA observed grass to be wet during tour and trees to all have green leaves. During the tour, LPA observed facility staff on the room trimming tree branches. Based on interviews regarding the allegation Staff did not prevent residents from engaging in a physical altercation, it is undetermined if this allegation is valid due to conflicting statements and no visible injuries to the resident. Based on records review and interviews, it is undetermined whether or not the allegations occurred. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. A copy of this report was provided to Administrator.