complaint·March 28, 2025

Regarding the allegation: Facility staff did not ensure that dangerous items were inaccessible to the residents . It’s alleged a knife was observed on the kitchen counter but staff were not preparing food. The Administrator confirmed a visitor had visited the facility on 3/13/2025 and observed a knife was sitting on the kitchen cabinet and the staff were not present in the kitchen when this was observed. The visitor immediately called the Administrator and expressed their concerns. The Administrator stated there had been issues with the staff and the Administrator would provide training to the staff. The Administrator confirmed with LPA Spaeth they had spoken to the visitor regarding the issue. Regarding the allegation: Facility staff did not ensure that medications were properly stored. It’s alleged the medication cabinet was also unlocked and unattended. The Administrator confirmed the visitor also stated the medication cabinet located in the kitchen was also unlocked and staff were not present. The Administrator confirmed with LPA Spaeth they had spoken to the visitor regarding the issue. LPA Spaeth received two photos that were taken at the facility during the incident of 3/13/2025. Upon reviewing the photo of the knife on the kitchen cabinet, LPA observed the exact location the knife was sitting on the kitchen cabinet. LPA took a photo of that location as proof the 3/13/2025 photo was the actual location of the incident. LPA reviewed the 3/13/2025 photo of the medication cabinet. LPA observed the exact location of the medication cabinet and took a photo of that location. Based upon LPA’s observations and interview of the Administrator, the allegations are substantiated. Exit interview conducted, appeal right discussed, and a copy of the report was given.