complaint·April 29, 2025

Pg. 2 Staff speak inappropriately towards a resident. On the allegation that staff speak inappropriately towards resident, it is the concern of the reporting party (RP) that staff speak disrespectfully to residents in care. To investigate the allegation, LPA Urena conducted residents’ interviews. The LPA interviewed four (4) out of five (5) residents, one resident was unavailable for the interview. The interviews revealed that staff are never disrespectful, nor do they raise their voices. One resident stated that they thought they heard staff use loud voice but was not sure. Staff denied being disrespectful to residents in care. Based on the information obtained through interviews, the residents stated that staff speaks to them respectfully. Therefore, the allegation is deemed Unsubstituted at this time. Staff mishandle a resident's medication. On the allegation that staff mishandle a resident's medication ; it is the concern of the reporting party that staff are not dispensing the medications to residents as prescribed (timely). To investigate the allegation, LPA Urena conducted residents’ and staff interviews and conducted a random medication audit of residents’ medications compared to the Centrally Stored Medication and Destruction Record (LIC622). The interview with residents revealed that they receive their medications on time and according to their doctor’s orders. The medication audit revealed that the medications selected for audit were accurately dispensed, per physician’s orders. Based on the information obtained through interviews, and medication audit, the residents are receiving their medications according to the physician’s orders. Therefore, the allegation is deemed Unsubstantiated at this time. Continues on LIC 9099C pg. 3 Pg. 3 Resident was physically abused while in care. On the allegation that a resident was physically abused while in care; it is the concern of the reporting party that the RP witnessed staff physically abusing an elderly resident. The reporting party did not specify how the physical abuse was being perpetrated, and neither identified the elderly resident. To investigate the allegation, LPA Urena conducted residents’ interviews and residents’ representative’s interviews. The interviews revealed that staff have not abused residents physically nor in any other way. Residents are happy with the care they receive from the staff and the Administrator. The LPA interviewed the RP and the RP denied witnessing any physical abuse. Staff denied being physically abusive towards residents in care. The Administrator stated that no concerns or reports of abuse have been brought up by residents or their representatives. Based on the information obtained through interviews, residents reported that they are happy at the facility and denied any staff was physically abusing them. Therefore, the allegation is deemed Unsubstantiated at this time. Staff are denying a resident access to food. On the allegation that staff are denying a resident access to food, it is the concern of the reporting party (RP) that staff are not allowing residents access to the kitchen until after 8:00 a.m. To investigate the allegation, LPA Urena conducted residents’ and staff interviews. The residents’ interviews revealed that they receive three meals a day plus they are offered several snacks throughout the day. If they get hungry, they can ask the staff for food. They are never denied food. The staff interviews revealed that they serve breakfast between 8:00 a.m. and 8:30 a.m. lunch between 12:30 p.m. and 1:00 p.m., snacks in between and dinner at around 5:00 p.m. The LPA interviewed the RP, and the RP recognized that the staff are trying to take care of R1’s health, and that they do not actually deny the food, and is more about the food being consumed late at night. Based on the information obtained through interviews, RP denied being hungry or not having access to food or getting enough food during meals. Therefore, the allegation is deemed Unsubstantiated at this time. No citations were issued. Exit interview was conducted. A copy of the report was issued.