complaint·December 22, 2025

Interview with the administrator at 11:00 a.m. today revealed they have spoken with R1 before, but they have not heard reports from R1 or other residents about getting hit or other types of abuse. Interviews with Staff #1 (S1) at 9:10 a.m. today, Staff #2 (S2) at 9:25 a.m. today, and Staff #3 (S3) at 9:45 a.m. today revealed they had heard no reports of abuse from R1 or any other residents. LPA observed the facility to be safe and free of abuse during today’s visit. Based on observations and interviews, staff have provided a safe environment. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. Regarding the allegation "Staff does not ensure resident is administered prescribed medications in a timely manner" it was alleged the facility did not consistently assist with R1’s medications. Record review of R1’s care plan revealed staff agreed to assist with R1’s medication three (03) times per day. Review of R1’s Medication Administration Record (MAR) revealed staff have assisted with all of R1’s medications at the correct times. Interviews with S2 and Staff #4 (S4) at 1:45 p.m. today revealed R1 has received full assistance with all medications at the proper times. Interviews with eleven (11) out of eleven (11) residents today revealed they have received sufficient assistance with their medications. LPA observed staff assisting with resident medications at approximately 11:15 a.m. today. Based on observations, interviews, and record review, staff have properly ensured residents received assistance with medications. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. Regarding the allegation "Staff does not ensure facility is clean" it was alleged that the facility was filthy. LPA’s tour of the facility today revealed common areas and resident rooms were sufficiently clean. LPA also observed staff cleaning resident rooms between 9:20 a.m. and 10:15 a.m. Interviews with ten (10) out of eleven (11) residents revealed no issues with the condition of the facility or their rooms. Interviews with staff and the administrator revealed staff clean common areas and resident rooms every day. The administrator had not heard of any complaints about facility cleanliness. Based on observations and interviews, there is insufficient information to prove the allegation. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. No immediate health or safety concerns were observed during today’s visit. Exit interview conducted. Copy of report provided.