complaint·December 22, 2025

Investigation revealed the following: Allegation: “Staff verbally abuses the residents.” Interviews conducted with R1 to R10 revealed the following: 10 out of 10 residents denied the allegation, moreover, residents indicated that management has fixed the problems they have had with staff. Interviews conducted with S1 to S8 revealed the following: 8 out of 8 staff denied the allegation. Observations on 12/22/2025 revealed the following: staff were not observed verbally abusing residents. 2025 In-Service Staff Training's revealed the following: staff were trained on Resident Rights on 11/15/2025 and on 12/19/2025; staff were trained on proper ways to communicate with residents on 11/15/2025. Based on interviews, observations, and records reviewed this allegation is unsubstantiated. 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. Allegation: “Staff does not meet the needs and services of the residents.” Interviews conducted with R1 to R10 revealed the following: 10 out of 10 residents denied the allegation, furthermore, residents indicated that their needs are being met. Interviews conducted with S1 to S8 revealed the following: 8 out of 8 staff denied the allegation. Observations on 12/22/2025 revealed the following: staff were observed assisting residents during lunch time and staff were observed assisting residents with their wheelchairs. 2025 In-Service Staff Training's revealed the following: staff were trained on Safety Checks on 11/15/2025; staff were trained on Meals, Showers, Care Plans, Assisting Residents with Heathers on 10/23/2025. Based on interviews, observations, and records reviewed this allegation is unsubstantiated. 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. Allegation: “Staff does not respond timely to the residents alerts”, it is being alleged that staff do not respond to call lights/pull cords in a timely manner. Interviews conducted with R1 to R10 revealed the following: 1 out of 10 residents agreed with the allegation; 9 out of 10 residents denied the allegation, additionally, residents indicated that staff normally respond in 3 minutes to 10 minutes. Observations on 12/22/2025 revealed the following: Room 202’s pull cord was pulled at 12:16 PM and at 12:18 PM a caregiver came into the room; Room 257’s pull cord was pulled at 12:20 PM and at 12:23 PM a caregiver came into the room; Room 242’s pull cord was pulled at 12:25 PM and at 12:29 PM a caregiver came into the room; Room 227’s pull cord was pulled at 12:30 PM and at 12:37 PM a caregiver came into the room. 2025 In-Service Staff Training's revealed the following: staff were trained on Answering Call Lights in a Timely Manner on 03/04/2025. Based on interviews, observations, and records reviewed this allegation is unsubstantiated. 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 provided. An exit interview was conducted, and a copy of this report was left with the Administrator, Heather Argueta and Resident Care Coordinator, Corina Kahl.