complaint·October 1, 2025

At approximately 11:45am to 12:30pm LPA conducted interviews with six (6) of six staff, who were unable to confirm the allegation. From 12:30pm to 1:30pm LPA conducted interviews with six (6) of six residents. Due to the diagnosis of these residents, they were unable to confirm if the facility provides adequate supervision. From 1:30pm to 2:15pm, a physical plant inspection was conducted. There are surveillance cameras observed in common areas of the facility, which is a one story building, licensed to serve a capacity of 98 non-ambulatory residents. The facility also has an approved delayed egress. During the physical plant inspection, LPA observed six staff on duty, which include LVN, Residential Care Specialists, Office Manager, House Keeping and Kitchen staff. Based on the information obtained, there wasn’t enough evidence to prove a resident’s injury was a result of a lack of supervision. Therefore, the allegation is deemed Unsubstantiated at this time. Staff did not prevent inappropriate interactions between residents in care: In regards to the allegation, it’s being reported that on or around April 2024, because of inadequate staffing at the facility, Resident 2 (R2) struck and attacked R1. Law enforcement was notified and responded to a report describing battery. Their report gave no indication or conclusive evidence that there was a lack of supervision. Surveillance video was reviewed and it was observed that Staff 1 (S1) intervened immediately to redirect both residents. At approximately 11:45am to 12:30pm LPA conducted interviews with six (6) of six staff, who were unable to confirm the allegation. From 12:30pm to 1:30pm LPA conducted interviews with six (6) of six residents. Due to the diagnosis of these residents, they were unable to confirm if the facility provides adequate supervision. From 1:30pm to 2:15pm, a physical plant inspection was conducted. There are surveillance cameras observed in common areas of the facility, which is a one story building, licensed to serve a capacity of 98 non-ambulatory residents. The facility also has an approved delayed egress. During the physical plant inspection, LPA observed six staff on duty, which include LVN, Residential Care Specialists, Office Manager, House Keeping and Kitchen staff. Although the police report showed evidence of R2 attacking R1, there was insufficient evidence to conclude that this was a lack of supervision on the day this incident occurred as S1 was shown to intervene immediately to redirect both residents. Moreover, interviews made with both staff and residents do not corroborate with the allegation. Therefore investigation is Unsubstantiated at this time. Staff did not accord resident dignity while in care. In regards to the allegation, it’s being reported that on or around 04/26/25, there was a male individual, verbally abusing R1. There was no indication if this individual was a staff or resident. There also was no witnesses identified to corroborate with the allegation. At approximately 11:45am to 12:30pm LPA conducted interviews with six (6) of six staff, who were unable to confirm the allegation. From 12:30pm to 1:30pm LPA conducted interviews with six (6) of six residents. Due to the diagnosis of these residents, they were unable to confirm any personal rights violation. During the physical plant inspection, LPA observed six staff on duty, which include LVN, Residential Care Specialists, Office Manager, House Keeping and Kitchen staff. LPA did not observe any personal rights violation during this walk through of the facility. Based on the information obtained, it could not be proven that staff do not accord the resident’s dignity while in care. Therefore, the allegation is deemed Unsubstantiated at this time.