complaint·March 27, 2025

Licensing Program Analyst (LPA) Bennette Pena conducted an unannounced complaint visit to investigate the above-mentioned allegation. LPA met with Sister Cecilia Marie, OCD, Care Assistant and explained the purpose of the visit. Shortly after, Sister Magdalene Grace, OCD, BSN Care Coordinator arrived and assisted LPA with the investigation. The investigation consisted of the following: LPA toured the facility's common areas and obtained/reviewed a copy of the current Staff/Resident rosters and interviewed Staff #1 (S1). In regards to the allegation: "Staff is refusing to accept resident back after hospital stay." LPA reviewed the Resident roster (dated 03/25/2025) and found Resident #1 (R1) who was allegedly referred to in the complaint is not included in the list of residents on the facility's roster. LPA interviewed Staff #1 (S1) who confirmed that R1 does not live at this facility and stated that R1 resides at the sister facility that is adjacent to this licensed facility. Therefore, the complaint was filed against the incorrect facility. This agency has investigated the complaint alleging " Staff is refusing to accept resident back after hospital stay." Based on the information gathered during this visit, and the staff interviews, the allegation is deemed UNFOUNDED. A finding of UNFOUNDED means that the allegation is either false, could not have happened, and/or is without a reasonable basis. We have therefore dismissed the complaint. No deficiency cited. An exit interview was conducted, and a copy of this report was provided to Sister Magdalene Grace, OCD, BSN Care Coordinator.