complaint·March 13, 2026

Allegation: Staff do not follow resident’s dietary needs. During the investigation, interviews were conducted with facility staff, the Administrator, and four (4) out of four residents regarding the allegation that staff were not following Resident #1’s (R1s) dietary needs. Staff and the Administrator reported that meals are prepared and served according to each resident’s stated preferences and requests. Staff also explained that they frequently order outside food, such as tacos or burgers when residents ask for it. According to staff, there have been multiple occasions when Resident #1 specifically requested certain meals, including outside food, and later complained about receiving the same items that had been requested. The administrator stated that staff make ongoing efforts to accommodate residents’ food preferences and denied that Resident #1’s dietary needs were being disregarded. Interviews with three additional residents indicated that they are satisfied with the meals provided at the facility. These residents reported that staff routinely ask for their meal preferences before preparing or ordering food. Based on the interviews and information gathered during the investigation, there was insufficient evidence to support the allegation that staff do not follow Resident #1’s dietary needs. Therefore, the allegation is Unsubstantiated . Allegation: Staff speaks inappropriately to resident in care. During the investigation, interviews were conducted with facility staff and residents regarding the allegation that staff speak inappropriately to residents in care. Staff denied ever speaking to residents in an inappropriate manner and stated that they always treat all residents with respect and professionalism. Three (3) out of four (4) Residents interviewed also denied the allegation. They reported that they are satisfied with the staff, feel comfortable interacting with them, and have never been spoken to in an inappropriate or disrespectful way. Based on the interviews and information gathered, there was insufficient evidence to support the allegation that staff speak inappropriately to residents. Therefore, the allegation is Unsubstantiated . Continue on LIC9099-C Allegation: Staff do not ensure the facility is properly maintained. To investigate the allegation, the LPA conducted observations of the facility and noted that the building is currently undergoing renovation. Construction activity was observed throughout the facility, consistent with improvement work in progress. The Administrator reported that residents had been informed of the renovation project in advance, including the anticipated timeline for completion. The Administrator also stated that construction is scheduled during normal daytime working hours to minimize disruption to residents during evening and nighttime hours. Interviews with residents confirmed that they were aware of the renovation work and understood that the construction was temporary. Three (3) out of four (4) Residents expressed that they were pleased the facility was being improved and stated that the renovations would result in a cleaner, nicer, and more comfortable living environment. Based on LPA's observations, resident interviews, and information obtained during the investigation, there was insufficient evidence to support the allegation that staff do not ensure the facility is properly maintained. The evidence indicates that the facility is actively undergoing renovation and that residents were informed of the temporary construction. Therefore, the allegation is Unsubstantiated . Allegation: Staff do not ensure residents are provided a comfortable environment During the investigation, interviews with staff and the administrator indicated that the ongoing renovation work is being completed to improve the facility and provide residents with a more comfortable living environment. The administrator explained that the construction is temporary and that workers are making efforts to complete the project as quickly as possible. Three (3) out of four (4) Residents interviewed confirmed that they were aware of the renovation and had been informed that temporary noise such as knocking down walls or drilling might occur during the process. Residents further stated that their bedrooms were not affected by the construction and stated the construction noise is mostly during morning time. Residents also added, the construction did not effect their daily living and expressed satisfaction with the planned improvements and stated they were looking forward to the final results. Continue on LIC9099-C Based on the interviews and information gathered during the investigation, there was insufficient evidence to support the allegation that staff failed to ensure residents were provided with a comfortable environment. The evidence shows that the renovation is temporary and that residents were informed prior to the start of construction. Therefore, the allegation is Unsubstantiated . No Deficiency issued during today's visit. Exit interview conducted and copy of this report signed and delivered.