complaint·December 23, 2025

living. Interviews with the administrator at 9:40 a.m. today and Staff #1 (S1) at 9:50 a.m. today revealed they provided all agreed upon services to R1 and all other residents. Interviews with three (03) out of four (04) residents revealed all of their care needs were met. Interview with Resident #2 (R2) at 9:10 a.m. today revealed they need more support in transferring from their bed, but all of their other needs were met. During today’s visit, LPA observed S1 preparing food for residents, providing incontinence assistance, and responding to call system requests between 8:45 a.m. and 11:00 a.m. Based on observations, interviews, and record review, staff are meeting the needs of residents. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. Regarding the allegation "Staff do not respond timely to a resident's alert" it was alleged staff have a delayed response to resident requests. Interviews with four (04) out of four (04) residents today revealed staff come quickly when they request assistance. Interview with S1 revealed the facility call system is very loud. S1 assists residents promptly when they call for assistance. LPA and S1 tested the facility call system today between 9:15 a.m. and 10:45 a.m. The buzzers were operational and audible in all five (05) resident rooms. Interview with Resident #3 (R3) at 10:45 a.m. today revealed that each resident has a unique call system sound. R3 recalled staff assisting R1 promptly after they requested assistance. Based on observations and interviews, staff respond in a timely manner to resident alerts. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. Regarding the allegation "Staff are mishandling a resident's medications" it was alleged R1 may not have received assistance with all medications. LPA reviewed R1’s medications with S1 at approximately 9:50 a.m. today. Interview with S1 revealed they followed all physician orders as well as discontinue orders of medications. The facility did not maintain a medication administration record. Interviews with four (04) out of four (04) residents revealed they received all medications in the proper dosages at the correct times. Based on interviews and record review, there is not enough information to verify the allegation. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. Regarding the allegation "Staff are not meeting a resident's bathing needs" it was alleged R1 did not receive a shower for weeks. It was also noted that they received bed baths consistently. Review of R1’s admission agreement revealed the facility agreed to provide assistance and reminders for their bathing needs. Interview with S1 revealed they provided daily bed baths to R1, R2, and R3. S1 and hospice nurses also provided shower assistance to Resident #4 (R4) and Resident #5 (R5). Interviews with four (04) out of four (04) residents revealed they receive sufficient assistance with their bathing needs. Based on interviews and record review, there is not enough information to verify the allegation. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. Regarding the allegation "Staff do not provide adequate food service" it was alleged the facility provides only Filipino food. Interviews with three (03) out of four (04) residents revealed they enjoyed the food provided. Interview with R2 revealed they would prefer more fresh foods, not froze foods. Interview with R5 at 8:55 a.m. today revealed their favorite meal made by the facility was pancakes and cereal. No residents believed that the facility only provided Filipino food. Interview with S1 revealed they ask residents about their preferences and try to accommodate them. S1 showed LPA tonight’s planned dinner consisting of meatballs and stroganoff. At approximately 9:00 a.m. LPA observed today’s breakfast which consisted of cereal, hashbrowns, fresh fruit, and eggs. LPA observed the weekly menu posted in the kitchen as well as a sufficient supply of perishable and non-perishable foods. Based on observations and interviews, the facility does not provide only Filipino food. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. No immediate health and safety concerns observed during today’s visit. Exit interview conducted. Copy of report provided.