complaint·October 28, 2025

During the physical plant tour, LPA did not experience any malodor and observed at least two (02) staff providing care and supervision to six (06) residents. A review of Home Health documents states twice per week assistance with personal care, bathing, grooming, walking, feeding and light housekeeping. During interviews with staff, all staff stated they change residents three (03) times a day or more if needed and do not leave residents soiled for an extended time. During interviews with residents, all residents, including R1, stated staff check on frequently throughout the day and are not left soiled for an extended time. Based on interviews and observations, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. ---Staff did not provide transfer assistance to resident in care. It was alleged that in the years she has resided at the assisted living, she has only been placed in a wheelchair twice. To investigate the allegation, on 10/07/2025, LPA requested documents at around 10:30a.m., interviewed three (03) staff from 11:30a.m. to 1:30p.m. and three out of five (05) residents from 1:30p.m. to 3:00p.m. On 10/28/2025, LPA conducted a physical plant tour and interviewed three (03) additional residents. During the physical plant tour, LPA observed at least two (02) staff providing care and supervision to six (06) residents. LPA also observed resident being transferred from bed to chair. A review of Home Health documents states twice per week assistance with personal care, bathing, grooming, walking, feeding and light housekeeping. During interviews with staff, all staff stated they offer transfer assistance daily, encourage R1 to get out of bed and to the dining table. Staff added R1 often refuses and cannot force R1 against their will. During interviews with residents, R1 stated they are not left in their chair or refused transfer assistance. R1 added they have been transferred to their chair several times. Resident #2 (R2) also stated staff assist them daily with transferring in and out of bed. All other residents do not require assistance. Based on interviews, record review and observations, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. (CONT. on LIC9099-C) ---Staff spoke inappropriately to resident in care It was alleged that staff would say things like “shut up” and “Fuck you”. To investigate the allegation, on 10/07/2025, interviewed three (03) staff from 11:30a.m. to 1:30p.m. and three out of five (05) residents from 1:30p.m. to 3:00p.m. On 10/28/2025, LPA interviewed three (03) additional residents. During interviews with resident, all residents, including R1, stated staff do not say things to them like “shut up” or “fuck you” and treat them with respect and dignity. During interviews with staff, all staff stated they treat residents with respect and dignity. Staff added they do not tell residents “fuck you” of “shut up”. Based on interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. No health and safety hazards noted during the visit. Exit interview conducted. A copy of the report was issued.