Complaint·February 23, 2026

Regarding the allegation: Staff did not ensure resident was fed. It is being alleged that resident #1 (R1) did not eat for twenty-four (24) hours. LPA interviewed one (1) of R1’s daughter and they stated, “R1 did not eat while at the hospital" and also that "R1 was on a pureed diet at the facility which they did provide because R1 had problems with aspiration." During LPA’s interview with staff #1 (S1), they stated, "that R1 did eat but in small portions." During LPA's interview with staff #2 (S2) they stated, "that R1 ate but blended foods only because they had problems swallowing." LPA interviewed two (2) residents that stated, "they get all their meals, they have no issues eating at this facility." LPA attempted to interview three (3) other residents but to no avail did they understand what the LPA was asking." LPA reviewed and obtained R1’s physician’s report that confirms R1 was on a dysphagia diet. Furthermore, R1’s preplacement appraisal and Admission Agreement also confirms that R1 was on a diabetic menu pureed food. Therefore, based on the record review and interviews conducted the allegation is UNSUBSTANTIATED at this time. Regarding the allegation: Unlawful eviction. It is being alleged that due to behavioral issues, resident #1 (R1) was not being accepted back to the facility leaving the resident without placement. LPA interviewed one (1) of R1’s daughter and R1’s daughter stated, “that R1 was only at facility for about nine (9) days and they did not like how R1 was being treated so when R1 was taken to the hospital on 02/10/26, the social worker agreed to help them fine another place for R1." R1’s daughter also admitted, "that R1 was a wanderer and had aggressive behaviors." LPA asked R1’s daughter if the facility was communicating with them about R1’s behavior and R1’s daughter stated, “yes, and we agreed on finding R1 another place to live that this place was not working for them.” R1's daughter also clarified that R1 was now at another facility and doing well. LPA interviewed staff #3 (S3) and S3 stated, “R1 was not evicted, R1 was taken to the hospital for aggressive, uncontrolled behavior on 02/10/26 when R1 tried to enter another resident’s room and R1 hit me when I tried to block R1 from entering the other resident’s room.” S3 also stated, “R1 behavior was changing quickly, was becoming out of control since their arrival at the facility and I told one (1) of R1's daughter that R1 would eventually require higher level of care and/or R1 may require a change of medication." S3 continued to say, "on 02/03/26, R1 did not want to be touched and declined all help from staff including showers. On 02/04/26, R1 entered another resident’s room without permission causing an argument. LIC 9099C-continued On 02/07/26, other residents complained of unpleasant odors and R1 declined to shower again.” S3 continued to say, “I communicated with R1’s daughters and one (1) of R1’s daughter agreed to fine another place for R1 to live. In addition, R1' family came to pick up R1's personal belongings and requested their admission fee back which I returned to them via zelle. I also updated all of R1's changing behaviors." LPA did obtain all unusual incident reports that were sent to Community Care Licensing in regards to R1. LPA interviewed two (2) additional staff that agreed R1 was yelling, trying to fight other residents and would enter other resident's room without their permission." LPA interviewed two (2) residents that stated, "R1 was unstable, R1 entered their room several times and tried to fight one (1) of the them." LPA attempted to interview three (3) other residents but to no avail did they understand what the LPA was asking. LPA reviewed and obtained R1’s admission agreement which was 01/31/26 and R1's admission agreement Pre-placement Appraisal, Physician's Report and Appraisal Needs and Services Plan. LPA also obtained, R1's updated resident appraisal and Needs and Services Plan that was explaining the new behaviors that R1 was showing. Therefore, based on the record review and interviews conducted the allegation is UNSUBSTANTIATED at this time. An exit interview was conducted, no citation(s) were issued for the above allegation(s), and a copy of this report was given to the Administrator.