complaint·November 17, 2025

The investigation revealed the following: Allegation: Staff did not ensure resident's showering needs were met. It is alleged that staff refused to assist R1 with a shower as R1 could not shower during scheduled time due to a family visit, staff also allegedly refused to assist with shower the following day as well. LPA interviewed 4 staff and each denied the allegation, stating that residents have a shower schedule and if they are needed with an additional shower one will be provided when as long as a caregiver has the availability. LPA interviewed 8 residents and 6 out of 8 residents denied the allegation and stated they have never been refused assistance with showers by staff. Allegation: Staff threatened resident. It is alleged that that 2 residents were informed of R1’s allegations against staff and threatened R1 and stated to keep S2’s name out of R1’s mouth. LPA interviewed 4 staff and each denied the above allegation, S2 stated that they never speak with residents regarding other residents issues and believe that residents overheard R1 when R1 was shouting at S2 about their showering. Interviews with staff also revealed that R1 was verbally aggressive towards staff and residents which made staff uncomfortable when left unattended with R1 and R1 was then placed on a two person assist when bathing. LPA interviewed 8 residents and 7 out of 8 residents denied the allegation, and stated they have never felt threatened by staff. Allegation: Staff retaliated against resident for reporting. It is alleged that R1 is being retaliated against as they have reported to upper management their concerns and feel staff (S2) are now refusing to assist with showers. LPA interviewed 4 staff and each denied the allegation, S2 stated there was not a refusal however since R1 had been aggressive towards staff there was an adjustment made to R1’s showering where R1 will need a 2 person assist. LPA interviewed 8 residents and 7 out of 8 residents denied the allegation and stated that they have never felt retaliated against by staff. Allegation: Staff wrongfully evicted resident. It is alleged that R1 is being evicted as S3 has asked R1’s sister to remove belongings and R1 has no where else to go. LPA interviewed 4 staff and each denied the above allegation, interviews with S1-S3 reveled that R1 was never evicted and had voluntarily discharged from the facility and was placed in a board and care of their preference. LPA interviewed 8 residents and each denied the allegation and stated they have never been evicted or issued an eviction noticed. R1 stated that while hospitalized they asked to be sent to a board and care and they voluntarily left the facility and are now at a now facility of their liking. Continued on LIC9099-C Based on statements and interviews conducted with staff/residents, and review of client files, and LPA observations, there was not enough supportive evidence to concur with the reported allegations. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED . Exit interview held and a copy of report was provided.