Complaint·August 22, 2025

Regarding the Allegation : Staff made inappropriate comments towards residents. This complaint alleged that staff called R1 inappropriate names. LPA Calderon toured the facility and did not witness any negative interactions between staff and residents. Records review indicate the following: The Physician report indicates that R1 is aggressive with staff and has cognitive issues. The Needs and Service plan indicates that R1 can communicate R1 needs and is not conserved. Interviews indicate the following: 3 out of 3 staff deny the allegation. R1 could not be interviewed as R1 moved to a new facility. 3 out of 4 residents deny the allegation. Based on interviews and supporting documentation, the preponderance of evidence standard has NOT been met therefore, the allegation of “Staff made inappropriate comments towards residents” is found to be UNSUBSTANTIATED. Regarding the Allegation : Staff are not providing adequate food service to residents. This complaint alleged that staff did not feed R1. LPA Calderon toured the facility and did not witness any negative interactions between staff and residents. LPA Calderon inspected the kitchen and noted 2 day and 7-day supply of food for residents to eat. LPA Calderon reviewed the 2-week meal plan for residents and obtained pictures of R1 eating food. LPA Calderon noted staff serving breakfast to residents in care and making lunch. Interviews indicate the following: 3 out of 3 staff deny the allegation. R1 could not be interviewed as R1 moved to a new facility. 3 out of 4 residents deny the allegation. Based on interviews and supporting documentation, the preponderance of evidence standard has NOT been met therefore, the allegation of “staff are not providing adequate food services to residents” is found to be UNSUBSTANTIATED. Regarding the Allegation : Staff did not safeguard residents’ personal belongings. This complaint alleged that staff stole R1 clothes. LPA Calderon toured the facility and did not witness any negative interactions between staff and residents. LPA Calderon inspected residents’ rooms and noted personal space for residents’ belongings. Interviews indicate the following: 3 out of 3 staff deny the allegation. R1 could not be interviewed as R1 moved to a new facility. 3 out of 4 residents deny the allegation. Based on interviews and supporting documentation, the preponderance of evidence standard has NOT been met therefore, the allegation of “Staff did not safeguard residents’ personal belongings” is found to be UNSUBSTANTIATED. Regarding the Allegation : Staff did not ensure residents received a copy of the admission agreement. This complaint alleged that staff did not give a copy of the admission agreement to R1. LPA Calderon toured the facility and did not witness any negative interactions between staff and residents. Records review indicate the following: Reviewed the admission agreement. R1 signed the agreement, and a copy was saved in residents facility file. The Physician report indicates that R1 is aggressive with staff and has cognitive issues. Interviews indicate the following: 3 out of 3 staff deny the allegation. R1 could not be interviewed as R1 moved to a new facility. 3 out of 4 residents deny the allegation. Based on interviews and supporting documentation, the preponderance of evidence standard has NOT been met therefore, the allegation of “staff did not ensure resident received a copy of admission agreement” is found to be UNSUBSTANTIATED. Regarding the Allegation : Staff did not ensure the shower was not slippery. This complaint alleged that staff did not ensure that the shower was safe. LPA Calderon toured the facility and did not witness any negative interactions between staff and residents. LPA Calderon inspected the facility 2 bathrooms and noted that there were grab bars and skid pads on the floor. LPA Calderon noted that the two bathrooms were working correctly. Interviews indicate the following: 3 out of 3 staff deny the allegation. R1 could not be interviewed as R1 moved to a new facility. 3 out of 4 residents deny the allegation. Based on interviews and supporting documentation, the preponderance of evidence standard has NOT been met therefore, the allegation of “Staff did not ensure the shower was not slippery” is found to be UNSUBSTANTIATED. Regarding the Allegation : Staff do not allow resident out of his room. This complaint alleged that staff did not allow R1 out of R1 room. LPA Calderon toured the facility and did not witness any negative interactions between staff and residents. LPA Calderon noted residents coming and going from the residents’ rooms. Records review indicate the following: Reviewed pictures of R1 out of R1 room eating at the dining room table. The Physician report indicates that R1 is aggressive with staff and has cognitive issues. Interviews indicate the following: 3 out of 3 staff deny the allegation. R1 could not be interviewed as R1 moved to a new facility. 3 out of 4 residents deny the allegation. Based on interviews and supporting documentation, the preponderance of evidence standard has NOT been met therefore, the allegation of “Staff do not allow resident out of his room” 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 Manager Rodolfo Lozada (S1).