Complaint·April 30, 2026

Regarding the Allegation : Staff do not safeguard residents belonging. This complaint alleged that the facility staff stole personal items from R1 room. Records review indicate the following: Physician report (dated 05/20/2025) indicates that R1 has health issues and cognitive issues. Interviews indicate the following: R1 states that R1 purchased items from Amazon and staff have stolen R1 personal items. R1 has no proof and did not file a police report. R2-R11 deny the allegation. S1 indicates that none of S1 staff would steal items from R1 room. S2-S3 deny the allegation. Based on interviews, observations, and supporting documentation, the preponderance of evidence standard has not been met; "The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred.” therefore, the allegation of “Staff do not safeguard residents belongings” is found to be UNSUBSTANTIATED. Regarding the Allegation : Staff speak inappropriately to residents. This complaint alleged that the facility staff speak to R1 inappropriately. Records review indicate the following: Physician report (dated 05/20/2025) indicates that R1 has health issues and cognitive issues. Interviews indicate the following: R1 states that staff yell and curse at R1 unless R1 purchases items from Amazon for staff. R2-R11 deny the allegation. S1 indicates that none of S1 staff would yell or curse at R1. S1 indicates that none of S1 staff would take items from R1. S2-S3 deny the allegation. Based on interviews, observations, and supporting documentation, the preponderance of evidence standard has not been met; "The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred.” therefore, the allegation of “Staff speak inappropriately to residents” is found to be UNSUBSTANTIATED. Regarding the Allegation : Staff are not meeting residents’ dietary needs. This complaint alleged that the facility staff are not feeding R1 meals. Records review indicate the following: Physician report (dated 05/20/2025) indicates that R1 has health issues and cognitive issues. Reviewed facility menu and vegan menu for residents in care. Menus offer a wide range of food for residents to eat. LPA Calderon toured the kitchen and noted a wide range of food offered to residents in care. Interviews indicate the following: R1 states that R1 is vegan and staff do not offer R1 any options. R1 indicates that R1 has seen the alternative vegan menu and none of the food is offered to residents in care. R2-R11 deny the allegation. S1 indicates that R1 changed to vegan and staff offered R1 a vegan menu but R1 refuses to eat any of the food. S2-S3 deny the allegation. Based on interviews, observations, and supporting documentation, the preponderance of evidence standard has not been met; "The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred.” therefore, the allegation of “Staff are not meeting residents dietary needs” is found to be UNSUBSTANTIATED. No deficiencies cited during today's visit. An exit interview was conducted, and a copy of the Complaint Report was provided to the Administrator Linda Poythress (S1).