complaint·March 11, 2026

Records review revealed the following: At the time of the investigation, no records were provided to LPA documenting the alleged verbal altercation. Additionally, no facility records reviewed contained documentation supporting the allegation. Observations revealed the following: During the dining room observation conducted by LPA between approximately 11:30 AM and 11:53 AM, approximately 10–15 residents were present in the dining room with two staff members serving meals. Residents appeared calm, and no verbal arguments, yelling, or resident-to-resident conflicts were observed during the observation period. Interviews conducted revealed the following: Five out of six residents interviewed reported they had not witnessed residents arguing or fighting in the dining room and did not recall any altercation occurring around Thanksgiving of 2025. One resident stated that arguments between residents occasionally occur but did not report witnessing the specific incident referenced in the allegation. Multiple staff members interviewed reported they did not witness the incident. One staff member reported recalling that resident (R2) verbally yelled at resident (R1) in the dining room on one occasion and stated the behavior did not occur again and was able to defuse the situation. Based on the evidence gathered, interviews conducted, observations made, and records reviewed, although the allegation “Staff did not ensure resident was kept free from verbal abuse by another resident in care” may have happened or may be valid, there is not a preponderance of evidence to prove the alleged violation occurred. Therefore, the allegation is unsubstantiated. No deficiencies were cited during today’s visit. An exit interview was conducted, and a copy of this Complaint Investigation Report was provided to the facility.