Complaint·April 18, 2026

The investigation revealed the following: regarding the allegation “Facility staff are not meeting resident diapering needs.” It is alleged the facility staff are not assisting R1 with diapering needs. Three (3) out of the three (3) staff interviewed denied the allegation. Four (4) out of the six (6) residents interviewed denied this allegation. Due to cognitive impairments, R2’s interview was not reliable. Staff interviews revealed that all residents that require assistance with toileting are checked on every 2 hours or sooner if the resident request assistance. S1 revealed that R1 does not require assistance with toileting per their medical assessment. S2 revealed that R1 asks for assistance with toileting and staff assist R1 with toileting. During record review of R1’s medical assessment, LPA observed that per R1’s physician, R1 does not require assistance with toileting, does not suffer from bowel or bladder incontinence. 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 . “Staff do not treat resident with dignity or respect.” It is alleged that staff do not treat R1 with dignity or respect. Three (3) out of the three (3) staff interviewed denied the allegation. Four (4) out of the six (6) residents interviewed denied this allegation. Due to cognitive impairments, R2’s interview was not reliable. Resident interviews with R3- R6 revealed that staff treat residents with respect and are professional. During record review of personnel records. LPA did not observe disciplinary records that indicate staff were reprimanded for not treating residents with dignity or respect. Interview with R2’s family revealed that R2’s family is in the facility every day for several hours and they have never heard staff being disrespectful to any residents. R2’s family revealed R1 and R2 are roommates and they have witnessed interactions between R1 and staff and those interactions have always been professional. 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 cited. Exit interview was conducted. A copy of this report was provided.