Complaint·January 5, 2026

The investigation revealed the following: regarding the allegation “Staff do not ensure the facility is at a comfortable temperature for residents.” It is alleged staff do not ensure the facility is heated to a comfortable temperature for residents. Five (5) out of the nine (9) residents interviewed corroborated this allegation. Two (2) out of the three (3) staff interviewed corroborated this allegation. Resident interviews revealed that most common areas and resident rooms are not being heated, and residents have to put on extra layers of clothing and blankets to keep warm. Staff interviews revealed that on or around December 20 th , 2025, the facility’s thermostat was not properly functioning, and some areas of the facility were not maintaining proper heating. Staff interviews revealed that some residents have complained about their rooms being too cold and needing more blankets to stay warm. Staff interviews revealed the facility has at least twelve (12) extra portable heaters that residents will be provided upon their request. During facility tour, LPA Ramirez common areas and seven (7) resident rooms. LPA Ramirez did not observe thermostats in resident rooms; however, one (1) thermostat located on the 1 st floor hallway located near the dining room read 67-degree F at 10am. According to weather forecast for 01/05/2026, it shows a high of 61-degree F daytime and a low of 52 -degree F in the evening. During record review, LPA Ramirez observed a letter from the facility general contractor that indicated the facility was professionally serviced on December 20 th , 2025, and all repair and restoration work is currently in progress and is scheduled to be fully completed by January 12, 2026. Phone interview with the facility general contractor revealed that some thermostats in the facility are not functioning properly and some areas of the facility are not reaching desired set temperature, and all facility thermostats will be replaced as a result. During tour of facility, LPA Ramirez observed several residents throughout the facility, layered with clothing and layered with several blankets to keep warm. One (1) out of the seven (7) rooms toured was equipped with a portable heater. Based on interviews, observations and records reviewed, the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated . One (1) deficiency was issued during this complaint investigation. Exit interview was conducted and a copy of this report, 9099-D and appeals rights was provided.