Complaint·April 22, 2026

Interviews revealed that eight (8) out of ten (10) residents (R1 through R4 and R6 through R9) and all nine (S1-S9) staff have denied the allegation has taken place. Record reviews have indicated that the MARs have been marked and there are no discrepancies observed. Based on record reviews and interviews conducted, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the above allegation has been Unsubstantiated . Regarding the allegation “ Facility staff are not keeping accurate resident records", it is being alleged that MARs are being backdated in order to cover up any errors. Interviews revealed that all ten (10) residents (R1-R10) and six (6) out of nine (9) staff (S1, S2, and S6 through S9) have denied the allegation has taken place. Record reviews have indicated that the MARs have been properly marked, which include whether a medication has been denied by a resident or if the medication is out of stock at the pharmacy. Based on record reviews and interviews conducted, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the above allegation has been Unsubstantiated . There have been zero (0) deficiencies cited during today's visit. An exit interview was held with Staff one, Suzette Johnson - Executive Director (S1), and a copy of this report has been provided.