complaint·August 22, 2025

Continued LIC9099-C page 3 AL Advantage Resident Assessment (dated 02/24/2022 & 03/09/2022). Interviews were conducted with Staff Members #1–6 (S1–S6) and Resident #2-6 (R2-R6) Resident #1 (R1) was unavailable for an interview as they no longer reside at the facility. R1 passed away on December 21, 2024, after transferring to another care facility. The investigation revealed the following. Allegation: Licensee did not ensure that the resident was reassessed as necessary while in care. LPA interviewed Staff #1–6. All six staff members (6 out of 6) stated that the facility staff ensure residents are reassessed as necessary while in care. 6 out of 6 staff members also reported that there was no reason for the resident to be reassessed, as the previous assessment was up to date and there had been no change in R1's condition requiring reassessment. All six (6 out of 6) staff members denied the allegation. A review of R1’s file, including the Physician’s Report (dated 07/13/2022, 07/25/2023 & 10/02/2024), Medical Assessment (dated 03/09/2022), Medication Administration Records (MARs) (dated 10/24/2024 & 11/20/2024), Appraisal & Needs and Services Plan (dated 05/14/2024), Functional Capability Assessment (dated 07/13/2022), Preplacement Appraisal Information (dated 07/13/2022), and Resident Assessment (dated 03/15/2022) did not indicate resident need to be reassessed. The resident did not have a change in condition. LPA interviewed Residents #2-6 (R2–R6). Five (5 out of 6) residents stated that staff ensure residents are reassessed when needed during their care. Five (5 out of 6) residents denied the allegation. Based on interviews, available evidence, observation, information received, and records reviewed there was not enough sufficient evidence to support the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed unsubstantiated. A copy of the Complaint Investigation Report LIC9099 and LIC9099-C was provided to the Wellness Director, Michelle Brown. An exit interview was conducted. No deficiencies were cited.