complaint·June 18, 2025

resident roster and LPA Allen conducted interviews with staff 1- staff 10 (S1 - S10), resident 1- resident 9 (R1- R9). The investigation revealed the following: Allegation: Staff did not respond to resident's call for assistance At 11:30 AM, LPA Allen interviewed ten (10) staff members staff 1- staff 10 (S1 - S10) of those interviewed 10 out of 10 staff stated they are informed by the concierge on duty by portable two-way radios of the resident requiring assistance. Assistance is provided in a timely manner which can range between 5-10 minutes. Staff also stated if there are staffing issues residents wait time can be between 5-15 minutes, however staff members communicate with each other to ensure residents are acknowledged as needing help and given an estimated wait time to insure assistance is provided. The interview with Brooke Lamotte- Wellness Director stated there are some staffing concerns which have been addressed by having a job fair on 4/22/2025 and they expect to have eight (8) additional care staff members and three (3) MedTech’s with estimated start dates of May 1, 2025. LPA Allen also observed the 11 potential new hire roster/schedule. At 1:15 PM, LPA Allen interviewed resident 1- resident 9 (R1- R9) of those interviewed, 1 out of 9 residents stated they did not get assistance when they used their call button which happened on one occasion. The interviews with the remaining 8 residents stated help is received when they use their call buttons, however they also stated on occasion it may take longer than usual for staff to come assist them, but assistance is provided which they believe is because of staffing issues. LPA Allen also toured the facility including five (5) rooms and observed call buttons to be in operable condition and observed residents getting assistance when their call buttons were used. Based on LPA’s observation, interviews conducted, and records reviewed, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated . An exit interview was conducted where this report was discussed and provided to Nathan Venzon at the conclusion of the visit with appeal rights.