complaint·December 23, 2025

Allegation: “Staff did not complete a personal property inventory for a resident in care” It was reported that the facility did not conduct a personal property inventory for Resident #1 (R1). Interview and record review confirmed an inventory was not completed upon R1’s admission to the facility. The facility has since completed an inventory on 11/25/2025 of R1’s current belongings. Based on interview and record review, the preponderance of evidence standard has been met, therefore the allegation is deemed SUBSTANTIATED at this time with no deficiency as the facility was cited for this violation on 12/04/2025 and has met their Plan of Correction (POC). No deficiency cited. Exit interview conducted. A copy of the report was reviewed and provided. Allegation: “Staff did not safeguard resident's personal possessions” It was reported that Resident #1 (R1) had a bag of missing clothes that the facility did not appropriately safeguard. Interview with staff revealed that R1 arrived to the facility with minimal belongings. R1 had reported a bag of clothes missing, however, staff observed their clothes to be stored away in R1’s dresser and closet. Interview with R1 insisted they had two (2) bags of clothing and that one (1) was missing. R1 was unable to specify which clothing items were missing. Prior to admission to the facility, R1 was at a Skilled Nursing Facility (SNF). Record review of R1’s Inventory of Personal Effects at their SNF and review of current clothing items in their possession were accounted for. Clothing items included eight (8) shirts, five (5) pants, four (4) pairs of socks, and one (1) beanie. Although the allegation may have happened or is valid, there is not sufficient evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed UNSUBSTANTIATED at this time. No deficiency cited. Exit interview conducted. A copy of the report was reviewed and provided.