Complaint·April 13, 2026

Between 10:20 am and 12:15 pm, LPA interviewed additional staff. Between 12:45 pm, and 1:30 pm, LPA interviewed six (6) out of fifty-six total (56) residents. LPA's interview with the Administrator revealed the following: Administrator refutes the allegation, stating to LPA that elevated levels of sick and vacation call outs are anticipated, especially during the holiday months of November and December. Per Administrator, adequate staff coverage is maintained by offering overtime to staff on a voluntary basis. (Overtime is never "required"; staff are always able accept or refuse to overtime hours) Additionally, Administrator stated to LPA that licensee is contracted with temp caregiver agency, Exemplary Care LLC., which provides additional caregiver staffers, if necessary. LPA interviews with staff revealed the following: Five (5) out of five (5) staff stated to LPA that facility maintains adequate levels of staffing ensuring satisfactory resident care and supervision. All staff interviewed confirmed never being either compelled nor "required" to work overtime hours and chose to work overtime on a strictly volunteer basis. All staff interviewed confirmed to LPA that hours worked at the facility are neither egregious, nor did staff state feeling unable to get adequate rest/address personal concerns during their off-days due to working persistent overtime hours. LPA interviews with six (6) out of fifty-six (56) residents revealed the following. All six (6) residents stated to LPA their satisfaction with facility staffing levels, and the quality of care and supervision provided to residents. Based on LPA observations, and interviews of staff and residents, there isn't enough evidence to prove that there was inadequate supervision at the facility. Therefore, the allegation is deemed Unsubstantiated at this time. Exit interview conducted, and copy of this report was provided to Administrator.