Complaint·January 21, 2026

Regarding the allegation: Staff relocated resident without proper notification. It is being alleged that resident #1 (R1) was moved without notice from one (1) building to another without notice. During LPA's interview with R1, R1 stated, "that they were originally in building 819 and was moved to building 823 without notice." During LPA's interview with Staff #1 (S1), S1 confirmed that R1 was moved from building 819 to building 823 because R1 was causing issues with residents in building 819 and was yelling at staff. LPA obtained and reviewed R1's admission agreement-page #12 and it did say that residents can be moved with the discretion of the executive director. Although the admission agreement does say this, S1 did not send any unusual reports to community care licensing department on behalf of R1's behaviors with residents and/or staff and S1 did not give R1 a thirty (30) day written notice of their room change. LPA interviewed four (4) out of five (5) residents that did not have an issue with R1 while living in building 819. LPA interviewed two (2) staff that did have an issue with R1 but those staff are also in the vicinity of building 823 that R1 now lives in. Therefore, based on the record reviews and interviews conducted, the allegation is SUBSTANTIATED at this time. An exit interview was conducted, citation(s) were issued, appeal rights and a copy of this report was given to the Administrator. Regarding the allegation: Staff are refusing to administer medication to a resident in care. It is being alleged that resident #1 (R1) is not been giving their medication. During LPA's interview with R1, R1 stated, "they had recently moved to the above facility and was not receiving their medication for about two (2) or three (3) days but now they are receiving their medication. LPA interviewed staff #1 (S1) and stated, "that R1 is receiving their medication." In addition, S1 confirmed that they were waiting for R1's prescription to transfer from the other facility that R1 came from. LPA also interviewed staff #2 (S2), that stated, "they were waiting for R1's medication release form from the prior facility that R1 came from to provide R1 with their medication." Also, S2 did confirm that R1 is receiving their medication since January 13, 2026. During LPA's record review of R1's admission agreement and Centrally Stored Medication Record R1 moved in January 12, 2026 and R1's medication was transferred the following day January 13, 2026 from the other facility R1 transferred from. The Centrally Stored Medication Record shows R1 was receiving their medication since January 13, 2026. LPA also interviewed seven (7) residents that confirm they do receive their medication. Therefore, based on the record reviews and interviews conducted, the allegation is UNSUBSTANTIATED at this time. An exit interview was conducted, no citation(s) were issued, and a copy of this report was given to the Administrator.