complaint·February 10, 2026

Allegation: Staff untrained providing care and supervision to residents . It was alleged that staff were untrained and providing care and supervision to residents. To investigate, LPA interviewed the Administrator, Staff #1 (S1), Staff #2 (S2), and four (4) out of four (4) residents , and reviewed staff training records. The Administrator stated that all direct-care staff receive initial training upon hire, including dementia care, medication administration, residents’ rights, facility policies, and reporting requirements, and competency is verified through daily observation by the Administrator . S1 and S2 stated they received initial and ongoing training and are able to perform assigned duties. During the facility tour and observations, LPA noted staff providing care and supervision to residents. Four (4) out of four (4) residents interviewed stated their care needs are being met and expressed no concerns. Based on interviews, record review, and observations, this allegation is Unsubstantiated . Allegation: Staff unable to communicate residents’ needs due to language barrier. It was alleged that staff were unable to communicate residents’ needs due to a language barrier. To investigate, LPA interviewed the Administrator, S1, S2, and four (4) out of four (4) residents . The Administrator stated that at least one English-speaking staff member is present on each shift. S1 and S2 stated they communicate effectively with residents. During the facility tour and observations, LPA noted staff effectively communicating with residents, and residents responding appropriately. Four (4) out of four (4) residents interviewed stated they are able to communicate their basic needs and had no concerns. Based on interviews and observations, this allegation is Unsubstantiated . Allegation: Staff does not follow the posted food menu It was alleged that staff failed to follow the posted food menu and provided a poor diet to residents in care. To investigate, LPA interviewed the Administrator, Staff #1 (S1), Staff #2 (S2), and four (4) out of four (4) residents . LPA reviewed the facility’s sample menu and observed food items in the refrigerator and throughout the facility that matched the sample menu. During the initial and subsequent complaint visits, LPA conducted a physical plant tour and observed nutritious food available to residents. All four (4) residents interviewed stated that meals are adequate and not poor in quality. Based on interviews, record review, and observations, this allegation is Unsubstantiated . Appeal rights explained. Exit interview conducted and copy of this report signed and delivered.