complaint·July 29, 2025

Staff yelled at resident: It was reported that staff #1 (S1) yelled at Resident #1 (R1) when R1 was trying to close Resident #2 (R2) door to lessen the sound of R2’s screams. To investigate this allegation LPA conducted an interview with the Administrator and it was revealed that S1 is reported to be rude to some residents in care. Furthermore, LPA was informed that the facility is in the process of taking action to address S1’s conduct and performance. Additionally, interviews with Staff #2 (S2) and a MedTech confirmed the information provided by the Administrator. Moreover, LPA reviewed LIC 500 (Staff Roster) and observed that S1 is currently scheduled in the staff roster. Lastly, interviews with the residents confirmed S1 yelling at residents in care. Based on the information gathered through interviews this allegation is deemed Substantiated. Staff did not maintain a comfortable environment for residents: It was reported that Resident #2 (R2) is screaming/yelling incoherently creating uncomfortable environment to other residents in care. To investigate this allegation LPA conducted an interview with the Administrator, BOM, a MedTech, and two (2) staff and all parties interviewed admitted that R2 does scream when he/she needs assistance. Furthermore, interviews also revealed that R2 screams does create an uncomfortable environment to other residents. During the initial visit on 12/23/2025, LPA also heard R2 screaming extremely loud creating an uncomfortable environment. Moreover, LPA conducted a file review of R2 and did not observe that the facility either notified R2's Physician nor updated the Appraisal Needs and Services Plan to meet and address R2’s needs appropriately. Lastly, interviews with eight (8) out of twelve (12) residents also confirmed that R2 screams day and night, which makes the other residents uncomfortable. Based on interviews, record review, and LPA’s observation this allegation is deemed Substantiated. Deficiencies issued and appeal rights explained and given. Exit interview conducted and copy of this report signed and delivered.