Complaint·January 7, 2026

Regarding the Allegation : Staff do not ensure the residents shower is properly working. This complaint alleged that the facility did not provide a working shower for residents’ needs. LPA Calderon inspected room 120 and noted the shower head dripping but working. LPA Calderon inspected rooms 125, 132, 134 and room 206. All showers were working. Records review indicate the following: Work order (dated 12/26/2025) to fix shower head in room 120 was ordered. Interviews indicate the following: S2 indicates that resident in room 120 the shower head was dripping, and a new part was ordered. S2 states that the shower works. 5 out of 5 staff deny the allegation. R1 was not in room for interview. 23 out of 24 residents deny the allegation. Based on interviews and supporting documentation, the preponderance of evidence standard has NOT been met therefore, the allegation of “staff do not ensure the residents shower is properly working” is found to be UNSUBSTANTIATED. Regarding the Allegation : Staff do not ensure the facility is free of cockroaches. This complaint alleged that the facility did not provide a free environment with no cockroaches. LPA Calderon inspected room 120 and found no cockroaches. LPA Calderon inspected rooms 125, 132, 134 and room 206. All rooms clear and did not find any cockroaches. LPA Calderon checked the dining room, kitchen and common areas and did not see any cockroaches. Records review indicate the following: Dewey Pest Control (dated 10/01/2025 to 12/26/2025), work orders show rooms were treated and common areas showed no sign of cockroaches. Deep cleaning order (dated 01/01/2026) showed room 120 was cleaned and no cockroaches were found. Interviews indicate the following: 5 out of 5 staff deny the allegation. S2 indicates that 20 rooms are treated per day to include room 120. R1 was not in room for interview. 23 out of 24 residents deny the allegation. Based on interviews and supporting documentation, the preponderance of evidence standard has NOT been met therefore, the allegation of “staff do not ensure the facility is free of cockroaches” is found to be UNSUBSTANTIATED. Regarding the Allegation : Staff do not ensure the residents are assisted with meals. This complaint alleged that the facility did not provide meals for residents in care. LPA Calderon toured the facility and noted many residents taking their meals in the dining room. LPA Calderon noted a food cart for those residents that cannot take their meals in the dining room. Resident meals include a food tray and fork, spoon and the meal. Interviews indicate the following: S1 indicates that residents in room 120 takes meals in the room. Staff indicate that meal staff from the dining room provide the residents with meals and a fork. 5 out of 5 staff deny the allegation. R1 was not in room for interview. 23 out of 24 residents deny the allegation. Based on interviews and supporting documentation, the preponderance of evidence standard has NOT been met therefore, the allegation of “staff do not ensure the residents are assisted with meals is found to be UNSUBSTANTIATED. No deficiencies cited during today's visit. An exit interview was conducted, and a copy of the Complaint Report was provided to the Administrator Colleen Rozatti (S1).