Complaint·February 12, 2026

The investigation revealed the following: Allegation: Staff are not responding to resident's call button. It is being reported that staff are not responding to the residents calls in a timely manner. LPA Felisa Shirley interviewed S1 – S8 and was told when a resident pulls the call cord, the alert is sent to the front desk/receptionist. On 2/12/26, LPA Shirley was working in the Administrator’s office located next to the front desk in the lobby. LPA Shirley heard the receptionist calling staff on the walkie constantly relaying call request from the residents. During the tour to R1’s room on 2/12/26, LPA Shirley pulled the call cord at 11:19am. At 11:25pm there was a knock on the door, then the responding staff announced herself then walked in the room. LPA interviewed staff 1 – staff 8 (S1 – S8). Of those interviewed 8 out of 8 denied the allegation. LPA interviewed resident 1 – resident 6(R1 – R6). Of those who interviewed 5 out of 6 denied the allegation. One stated that they go down to the front desk on their own. Based on information gathered, LPA did not find sufficient evidence to support the allegation “Staff are not responding to resident's call button,” therefore, the allegation is unsubstantiated. Allegation: Staff are not following resident's dietary plan. It is being reported that staff are ignoring resident’s special diets. R1 is also concerned that she is not receiving fresh fruit and vegetables. Upon LPA Shirleys arrival to this facility on 2/12/26, LPA observed oranges in the snack area located in front of the elevators in the lobby. LPA Shirley reviewed the February 2026 weekly menu and observed that fruit and vegetables are offered daily. Upon LPA Shirleys tour to the kitchen, LPA observed a large whiteboard posted in the kitchen which listed room numbers and corresponding special diets. LPA Shirley observed R1’s room number listed on table of dietary plans. During the interview with R1, she stated that her dietary requirements are not always consistently followed by the staff. LPA interviewed staff 1 – staff 8 (S1 – S8). Of those interviewed 8 out of 8 denied the allegation. LPA interviewed resident 1 – resident 8(R1 – R8). Of those who interviewed 5 out of 6 has a regular diet, one stated sometimes yes, sometimes no. Con'd on 9099-C Based on information gathered, LPA did not find sufficient evidence to support the allegation “Staff are not following resident's dietary plan,” 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, Michelle Brown.