complaint·February 9, 2026

***This report supersedes the report delivered on 01/16/2026. The findings will remain unsubstantiated. *** The investigation consisted of the following: LPA toured the physical plant. LPA Interviewed staff 1-7 (S1-S7), and residents #2-#8 (R2-R8) resident R1 is currently in skilled nursing home. LPA requested, collected, and reviewed documents from R1's face sheet, physicians reports, admissions agreement, preplacement Assessment, medication log MARs, list of residents’ medications, plan of care and service plan and copies of four (4) random residents: face sheet, physician reports, admissions agreement, preplacement assessments, and medication list. Telephone contact information about staff and residents. Staff and residents’ rosters. The investigation revealed the following: Regarding the allegation: Staff did not dispense medications to resident as prescribed. It is alleged that the staff did not dispense and administer medications to resident#1(R1) as prescribed. Seven (7) of seven (7) staff interviewed denied this allegation. Staff interviewed stated they dispensed and administered R1’s medication as listed on the prescribed physicians’ orders received. The medications not transferred from R1’s previous pharmacy were communicated to R1’s physician on 04/01/25 and the facility pharmacy was awaiting insurance approval for the medication. Staff stated they communicated the medication and pharmacy issue to R1 and their POA’s to help resolve. Seven (7) of eight (8) residents interviewed could not corroborate this. According to the records reviewed medication list received dated 4/01/25 listed fourteen (14) medications, Nine (9) medications with four (4) PRN’s and one (1) medication on hold. According to records reviewed R1’s pharmacy had already provided R1’s family with the month’s medication allowance. Facility requested R1 and family bring the medication to the facility. Facility made multiple attempts to notify R1’s physician(s) and requested medication reconciliation, no response was received. R1 moved to the facility on 04/01/25 and was admitted to the hospital on 4/15/25. Records show R1 was administered medications dosage correctly from the MARs log dated 04/01/25 to 04/15/25, staff dispensed and R1 was administered their medication as prescribed. Based on LPAs records reviewed and interviews which were conducted. 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. CONTINUED ON 9099C........... ***This report supersedes the report delivered on 01/16/2026. The findings will remain unsubstantiated. *** Regarding the allegation: Staff did not provide resident’s representative with requested records in a timely manner. It is alleged that the staff did not provide resident #1(R1) representatives with requested medication records in a timely manner. Seven (7) of seven (7) staff interviewed denied the allegation. Seven (7) of eight (8) residents could not corroborate this allegation. According to staff interviewed, records request is handled by the resident service director and administrator. R1’s POA request for records was communicated to the administrator and request for medication records was provided to R1’s POA within five (5) days. Request for records was made on 4/18/25 and records were provided to R1’s POA on 4/23/25 by the staff at Atria. Based on LPAs records reviewed and interviews which were conducted. 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: Licensee charged resident for services not received . It is alleged that the Licensee has charged Resident #1(R1) for services not received. Resident #1 being overcharged with the room rental rate, only having lived in the community for two weeks. Seven (7) of seven (7) staff interviewed denied this allegation. Seven (7) of eight (8) residents could not corroborate this allegation. According to record review, R1 signed and dated the admissions agreement and is therefore held responsible for rental payment until the end of April. Thirty (30)day notice to leave the community was sent the administrator on 4/18/25, R1 is responsible for the payment of the room rental until 05/18/25, as agreed in the admissions agreement dated 03/31/2025 by R1. Based on LPAs records reviewed and interviews which were conducted. 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 was conducted and copy of these licensing report was provided to Administrator Crystene Char.