complaint·October 28, 2025

Allegation: Facility staff are not allowing residents to reject medical services when a threat is not imminent It is being reported that R-1 was adamant about not needing emergency medical services. LPA Shirley reviewed incident report dated 10/26/25 with an occurrence date of 10/19/25, stating that R1 slipped and fell while entering the elevator and struck her head. R1 had visible bruising and stated she had a headache. During interviews on 10/28/25, S-2 stated that staff follows required handling of medical emergencies which includes assessing the resident and calling 911 if needed. On 10/28/25, LPA Felisa Shirley reviewed the Plan of Operation observed that procedures for medical emergencies are being followed. LPA interviewed staff 1 – staff 8 (S-1 – S-8). Of those interviewed 5 out of 8 denied the allegation, 3 did not know. LPA interviewed resident 1 – resident 10 (R1 – R10). Of those who interviewed 10 out of 10 denied the allegation. Based on information gathered, LPA did not find sufficient evidence to support the allegation, “Facility staff are not allowing residents to reject medical services when a threat is not imminent,” therefore, the allegation is unsubstantiated. No deficiencies were cited for these allegations. An exit interview was conducted and a copy of this report was provided to the Wellness Director, Brooke LaMotte.