complaint·February 19, 2026

Regarding the Allegation : Staff are over medicating a resident in care’. This complaint alleged that the facility over medicated R1. LPA Calderon witnessed staff moving residents with no issues and there were no negative interactions between staff and residents. LPA Calderon noted staff giving medications to residents in care. Records review indicate the following: Guaranteed Hospice (dated 08/08/2025), indicates that the medication given to R1 comes from the hospice nurse. The MAR for R1 indicates that staff follow the direction of the MAR. Hospice Medication List (dated 08/08/2025) indicates the medication to be given to R1. Physician report (dated 01/30/2026) indicates that R1 has health issues and cognitive issues. Interviews indicate the following: S1 indicates that staff follows the hospice care plan and the hospice medication plan. Staff state that staff do not overmedicate R1. S1 indicates that the MAR supports the medication given to R1. 3 out of 3 staff deny the allegation. R1 could not answer any questions due to health issues. R2 could not answer any questions due to health issues. R3 indicates that staff do not give him medication R3 does not need. Based on interviews and supporting documentation, the preponderance of evidence standard has NOT been met therefore, the allegation of “staff are over medicating a resident in care” is found to be UNSUBSTANTIATED. Regarding the Allegation : Staff did not clean residents’ bedding. This complaint alleged that the facility did not change R1 bedding. LPA Calderon witnessed staff moving residents with no issues and there were no negative interactions between staff and residents. LPA Calderon noted staff cleaning the facility. Records review indicate the following: The Guaranteed Hospice (dated 08/08/2025) indicates that the hospice nurse gave a bath to R1 5 times in February. Hospice nurses changed bedding 5 times in the month of February 2026. Hospice care plan (dated 08/08/2025) indicates that the hospice nurse changes the resident bedding 3 times per week. Physician report (dated 01/30/2026) indicates that R1 has health issues and cognitive issues. Interviews indicate the following: S1 states that they change the R1 bedding every day and follow the hospice care plan. 3 out of 3 staff deny the allegation. R1 could not answer any questions due to health issues. R2 could not answer any questions due to health issues. R3 indicates that staff change R3 bedding 3 times per week. Based on interviews and supporting documentation, the preponderance of evidence standard has NOT been met therefore, the allegation of “staff did not clean residents bedding” 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 Francis Liwanag (S1).