complaint·August 12, 2025

The Investigation revealed the following Allegation: Facility staff are not dispensing medication as prescribed. It is alleged that staff are administering medication as a cream, not the powder prescribed. On 03/27/2025 LPA Watson toured the medication room and reviewed facility records. Per medication administration log (MAR) dated 03/2025, R1 has been consistently receiving the correct medication for her wound treatment, which has been documented on the MAR as being administered as a powder. On 03/26/2025 LPA conducted interviews with Staff #1- Staff #8 (S1-S8). Of those interviewed 8 out of 8 staff denied the above allegation. On 03/26/25 LPA conducted interviews with Resident #1 – Resident #6 (R1-R6). Of those interviewed 6 out of 6 staff denied the above allegation. Based on the information collected from the facility, observations, interviews, and records analysis, LPA Watson found no evidence to support the above allegation. While the allegation may be valid or have occurred, there is insufficient evidence to establish whether the alleged violation took place or did not. Therefore, the allegation is deemed unsubstantiated. Allegation: Facility staff are not safeguarding residents’ personal property It is alleged that medical cards and documents were stolen from Resident #1’s (R1) room. On 03/26/2025 LPA Watson interviewed Executive Director Nathaniel Venzon about(R1’s) allegedly stolen medical cards and documents. During the interview, Nathaniel Venzon stated that it was reported to him by Resident #1 (R1) that items were missing, and or stolen during a move from one room to another. Executive Director Nathaniel Venzon stated that a Theft and Loss Report was filed on behalf of (R1), but R1’s items were later found and returned. On 03/26/2025 LPA Watson conducted interviews with Staff#1 – Staff#8 (S1-S8) Of those Interviewed 8 out of 8 staff denied the above allegation. On 03/26/25 LPA Watson interviewed Resident #1 – Resident #6 (R1 -R6). Of those interviewed 5 out of 6 denied the above allegation. Based on the information collected from the facility, observations, interviews, and records analysis, LPA Watson found no evidence to support the above allegation. While the allegation may be valid or have occurred, there is insufficient evidence to establish whether the alleged violation took place or did not. Therefore, the allegation is deemed unsubstantiated. An exit interview was conducted with the Wellness Director Brooke Lamotte and a copy of this report was given .