complaint·September 20, 2025

The investigation revealed the following: regarding the allegation “Facility staff did not keep resident information confidential.” It is alleged staff revealed R1’s confidential medical information to maintenance staff. Seven (7) out of the seven (7) staff interviewed denied this allegation. Interview with S6 revealed a resident’s medical diagnosis or medical condition is not disclosed to them. An interview with S7 revealed maintenance staff do not need to know a resident's medical condition because maintenance only provides repair and maintenance to the buildings and grounds. Three (3) out of the three (3) residents interviewed denied this allegation. Interview with R1 revealed they receive “good care” from staff and felt “safe” at the facility. 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 . Unqualified staff are providing care to resident(s) in care.” It is alleged that maintenance staff are providing direct care and supervision to residents. Seven (7) out of the seven (7) staff interviewed denied this allegation. Interview with S3 revealed maintenance would never assist or provide direct care and supervision to residents due to maintenance staff not being qualified or trained to assist residents. Interview with S7 revealed if they observe a resident requests assistance with anything other than maintenance/repairs, they will call for a nurse or caregiver to assist the resident. Three (3) out of the three (3) residents interviewed denied this allegation. All three (3) residents interviewed revealed that maintenance staff have assisted with repairs to their room but denied that maintenance staff have ever assisted them with activities of daily living. 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 . No deficiencies were cited during this complaint investigation. Exit interview was conducted and a copy of this report was provided.