Complaint·January 31, 2026

Regarding the allegation Residents are not accorded safe, healthful and comfortable accommodations. Resident 1 communicated during two visits to the facility one on 12/29/2025, and 01/31/2026 that they are doing ok, and safe at the facility. LPA observed during a visit to the facility on 01/31/2026 Resident 1's room appears clean, they were watching television and appeared to have clean clothing. 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. Regarding the allegation Facility staff did not ensure supplies necessary for personal care was readily available to each resident. During visits to the facility on 12/29/2026, and 01/31/2026, Resident 1 does have personal care items including deodorant, toothbrush, and lotion readily available. 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. Regarding the allegation Facility staff are administering medications that have not been authorized by the person's physician. LPA reviewed resident 1's prescribed medication list. LPA observed staff 1 assisting facility residents with medications. LPA reviewed Resident 1's Centrally Stored Medication record provided to the facility by pharmacy. Resident 1 is being given all prescribed medication.Staff 1 has required training to assist residents with prescribed medications. 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. Regarding the allegation Facility staff did not receive appropriate training. LPA reviewed resident 1's prescribed medication list. LPA observed staff 1 assisting facility residents with medications. LPA reviewed Resident 1's Centrally Stored Medication record provided to the facility by pharmacy. Resident 1 is being given all prescribed medication. Staff 1 has required training to assist residents with prescribed medications. Staff 1 has all required training to provide care to residents. 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. Exit interview conducted with facility staff Nancy Cudal, and copy of report provided