Complaint·February 20, 2026

Allegation: Staff did not properly address a resident's change in condition . It is alleged that staff did not observe changes in R1's health condition. LPA's Interview with Administrator and Staff#1 (S1) revealed the following: Both Administrator and S1 refute the allegation, stating that R1 is monitored and assessed by staff, medical attention is provided when requested or needed, and timely communication of health changes are provided. Administrator and Staff stated that R1's change in condition was immediately communicated to R1's Primary Care Physician, and Family contacts. Staff did submit an Incident Report (IR) to the Licensing agency regarding the incident. Based on LPA interviews, and records review, the allegation is deemed Unsubstantiated at this time. Allegation: Staff did not provide required care and supervision to assist resident with ADLs . It is alleged that staff neglected to provide R1 with hygiene, incontinence, and mobility assistance. LPA observed staff providing assistance to R1, and other residents throughout the facility. LPA interviews with Administrator and Staff#1 (S1) revealed the following: Both Administrator and S1 refute the allegation, stating that staff implement required care plan components, such as assisting R1 with showering, supervision with toileting/changes when needed, and providing R1 with reminders/encouragement to use his walking cane. LPA Interviews with ten (10) out of ten (10) residents revealed that residents receive consistent and sufficient assistance by staff. Based on LPA observation, interviews and records review, there is not enough information to verify the allegation. Therefore, the allegation is deemed Unsubstantiated at this time. Exit Interview conducted/Copy of report given.