complaint·November 12, 2025

Regarding the allegation: Staff are not meeting residents’ health needs. It was alleged that residents are not receiving their health and dental needs as needed. To investigate the allegation, LPA attempted to interview four (4) residents and eight (8) staff members. LPA’s interview with R1 revealed that they have been requesting their dental appointment due to their teeth hurting. R1 stated that S1 and S2 have told them that they are in the process of working out the insurance to be able to book an appointment. LPA attempted to interview R2, R3 and R4 but due to their inability to communicate due to various medical reasons, LPA terminated the interviews. LPA’s interview with four (4) of the eight (8) staff members confirmed that R1 has been requesting to go to the dentist. LPA’s interview with both S1 and S2 revealed that R1 has not gone to the dentist due to R1’s dental insurance needing to be changed over to Medical. LPA questioned if there are documentation showcasing the process of switching R1’s dental insurance over to Medical where both S1 and S2 could not provide. LPA’s record review revealed that three (3) of the four (4) residents were missing their updated medical assessment since February of 2025. LPA’s interview with S2 revealed that the physician who oversees all four (4) residents would not complete their updated medical assessment until later this year (November 2025). When questioned if there was any documentation of all four (4) residents’ dental visits within the last two (2) years, both S1 and S2 could not provide documentation. Based on interviews and record review, staff have not ensured that residents are receiving their medical appointments as needed, therefore the allegation is SUBSTANTIATED at this time. Citation issued, please refer to 9099-D. No other immediate health and safety hazards observed during the time of the visit. Exit interview conducted, Appeal Rights given, and a copy of this report was provided to the Administrator. Regarding the allegation: Staff are not treating residents with dignity and respect. It was alleged that staff members are not speaking to residents in an appropriate manner and ignoring them. To investigate the allegation, LPA attempted interviews with four (4) residents and eight (8) staff members. LPA’s interview with R1 revealed that staff raise their voices towards them but do not yell. LPA attempted to interview R2, R3 and R4 but due to their inability to communicate due to various medical reasons, LPA terminated the interviews. LPA’s interviews with six (6) of the eight (8) staff members stated that they have not nor witnessed any staff members being disrespectful towards any of the residents. Based on interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. No other immediate health and safety hazards observed during the time of the visit. Exit interview conducted and a copy of this report was provided to the Administrator.