complaint·August 6, 2025

Allegation: Signal System was made inaccessible to a resident in care The allegation alleges the string from a resident’s emergency pull cord had been cut and tied tightly around the button and that it was not able to be pulled. During the facility tour, LPA checked and tested the emergency pull cords in the following rooms 204A, 302B, 403A, 501A, 602A, 705, 805, and in a common area on the 7 th floor. LPA observed the tested emergency pull cord stations were operational, and staff responded to each call within 7 minutes. During record review, LPA received and reviewed the Pull Cord Stations testing log dated 06/11/2025, that is conducted by S3 on a monthly basis. The log had no indication that the emergency pull cord station in the room in question was not working properly. LPA did observe room 203s pull cords were not operating properly and was repaired the same day it was tested. Additionally, LPA received and reviewed the Work Orders for the facility and observed on 07/30/2025, a work order was submitted for room 302B by S7 at the request of S3 for the need of a bed pull cord. During interviews with Staff S1-S7, were asked if residents emergency pull cords are operational, seven (7) out of seven (7), stated residents emergency pull cords in their rooms and restrooms are operational. During interviews with Residents R2-R8, were asked if their emergency pull cord in their room is functional, seven (7) out of seven (7) stated yes, their emergency pull cords are operational. Additionally, Residents R2-R8, were asked if there have been any issues with their emergency pull cord or their pendants, seven (7) out of seven (7) stated there have been no issues with their pendants. During the course of the investigation, LPA was unable to find evidence to support the allegation. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated . During today’s visit, LPA did not observe or cite any deficiencies. An exit interview was conducted with Executive Director, Robert Jankini, and a copy of this report was provided.