complaint·December 4, 2025

To investigate the allegation, at 8:52 AM LPA conducted a physical plant tour to ensure the health and safety of the clients in care. LPA interviewed five (5) out of five (5) clients from 9:26 AM to 10:00 AM and three (3) staff from 10:00 AM to 10:30 AM. LPA requested R1’s documents at 10:32 AM included but not limited to staff roster, resident roster, physician report, admission agreement, appraisal needs and service plan, and other pertinent documentarians. LPA received copies of the requested documents at 10:40 AM. Interviews with R1 stated that he is safe and happy living at the facility. R1 advised LPA that they do not want to talk to the caller and advised facility staff that they are unavailable and refuses to take the call. All of the residents stated that they have their own cell phones, and staff never refuses to give/ hand them a call from the facility phone. During interviews with staff, it was revealed that they were told by R1 to advise the caller they are unavailable and refuses to take the phone call. Based observation and interview, there is not enough information to verify the allegation. There is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. Allegation #2: Staff are not meeting the needs of a resident. It was alleged that the facility does not provide items needed for Resident #1 (R1). During the physical plant tour, LPA observed all the necessary items of the residents in their bedroom and bathrooms storage. During interviews with staff, it was revealed that they provide all the necessary items requested by the residents and never deny them. During interviews with residents, all residents stated they were provided with all necessary supply from the staff upon request. Based on interviews, record review, and observation, 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.