complaint·September 30, 2025

Allegation: Staff yelled at resident. It is alleged that S1 yelled at R1 while R1 was yelling in pain. LPA interviewed 5 Residents and each denied the above allegation, interview with R1 resident stated they have never been yelled at by staff. LPA interviewed 4 staff and each denied that allegation, staff stated that they have never yelled at residents or witnessed other staff do this, S1 stated that they have never yelled at any of the residents. Allegation: Staff threatened resident. It is alleged that S1 threatened to evict R1. LPA interviewed 5 residents and each denied the above allegation and stated that they have never been threatened or issued an eviction notice. Interview with R1, resident stated that there was a letter of rent increase discussed but has been decided to not go in effect. LPA interviewed 4 staff and each denied the above allegation and stated that they have never threatened a resident or heard other staff doing this. Interview with S1, staff stated that they did discuss a rent increase due to change of condition and more care needed with R1, however, it has been decided not to proceed with the rent increase. Allegation: Staff requested resident to turn off oxygen tank. It is alleged that staff have asked R1 to turn off their oxygen tank to avoid the high cost of electricity use ongoing. LPA toured facility and observed that facility is equipped with solar panels. LPA interviewed 5 residents and each denied the allegation, interview with R1 resident stated that they are able to have their oxygen tank on when they wish and sometimes have to double check that it is on as they sometimes accidentally turn it off. LPA interviewed 4 staff and each denied the above allegation and stated that they have never asked any of the residents to turn off their oxygen tanks or any kind of medical equipment or TV’s. Allegation: Staff refused to provide care to resident. It is alleged that S1 has told other staff not to tend to R1. LPA interviewed 5 residents and each denied the above allegation and stated that they are provided care whenever needed. Interview with R1, resident stated that they have never been refused care or have overheard staff telling each other not to provide care. LPA interviewed 4 staff and each denied the above allegation, staff stated there may be times where they have to ask the resident to wait as they are tending to others but have never refused to provide care. Interview with S1 staff stated they have never refused care or instructed staff to refuse care to R1 or any other resident, S1 explained that there are certain medications that R1 takes and requests and has told staff to wait the amount of hours needed between doses as this is what the physicians instructions. - Based on statements and interviews conducted with staff and residents, tour of facility and review of facility file records, there was not enough supportive evidence to concur with the reported allegations. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. Exit interview held, and a copy of this report was emailed.