complaint·March 12, 2026

The investigation revealed the following: Regarding the allegation “Facility staff are not ensuring that residents’ showering needs are being met." it is being alleged that a resident has not been showered for ten (10) days. Record reviews have revealed the following: Shower logs of residents in care confirm that residents are being showered which indicates residents are being kept clean. Interviews have revealed that four (4) out of five (5) staff (S2-S5) and four (4) out of seven (7) residents (R2-R3 & R5, R7) have denied the allegation has taken place, while one (1) resident was unsure (R4). Based on record reviews and interviews conducted, 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 that the alleged violation occurred. Therefore, the above allegation has been Unsubstantiated. Regarding the allegation "Facility staff are not treating resident with dignity and respect." it is being alleged that staff have "play(ed) game(s)" with a resident's medication management. Record reviews have revealed the following: a resident in question MAR have been reviewed and no discrepancies have been found. Interviews have revealed that four (4) out of five (5) staff (S2-S5) and five (5) out of seven (7) residents (R2-R5 & R7) have disagreed with the allegation. Based on record reviews and interviews conducted, 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 that the alleged violation occurred. Therefore, the above allegation has been Unsubstantiated. There have been zero (0) deficiencies cited during today's visit. An exit interview was held with Maria Galvan - Executive Director (S5) and a copy of this report has been provided.