complaint·July 25, 2025

T he investigation revealed the following: In regards to the allegations " Staff did not safeguard resident's personal belongings. " It is alleged that R1 noted missing personal items, and had filed a police report regarding missing items but have not heard back. (3) out of (4) staff members stated that they heard several residents complained about missing items after relocating back to the facility. Staff interviewed stated that they heard an individual trespassed and stole items while he facility was vacant. Another staff interviewed stated that they had seen residents personal belongings outside of the room, not in the bags while the facility was under renovation. (5) out of (6) residents interviewed stated that they had personal items missing like clothing, blankets, shoes. Some residents indicated that they reported it to the Administration but no action was taken. Interviewed residents also indicated that several things were still being found since they had been misplaced. Based on statements and interviews conducted with residents and staff as well as reviewed files and documentation , the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED . Deficiency cited on the attached LIC 9099D. An exit interview was conducted, and a copy of this report was provided to the Administr ator , Bryanna Luke along with the Appeals Rights. The investigation revealed the following: In regards to the allegation: "Staff do not treat residents equally." It is alleged that a resident is dissatisfied with the treatment they are receiving and believes staff may demonstrate preferential treatment toward other residents based on race. (4) out of (4) staff interviewed denied the allegation. Some staff interviewed stated that some staff members have difficulty speaking English, but it doesn't impact the care they provide to the residents. Staff interviewed stated that they ensure fair treatment of all residents, regardless of their race. (6) out of (6) residents interviewed stated that they have not seen or experienced staff treating them differently on the basis of their race. Residents interviewed stated that staff treat them fairly and interact with them regularly. Therefore there was insufficient evidence to corroborate with the allegation. In regards to the allegation: "Staff are mismanaging residents medication." It is alleged that there are staff members covering for medication technicians who fail to bring the correct medications but the resident has not expressed any immediate safety concerns at this time. (4) out of (4) staff interviewed denied the allegation. Staff stated that there are sufficient med-techs on hand to administer medications to the residents. Staff indicated that some staff who assist med techs in passing medications have received medication training. Additionally, staff indicated that they have not received any report or complaint about mismanaging residents medication. Residents interviewed stated that while several staff members administer the medication, they are the correct medications. Residents also stated that they had never been administered the wrong medication by any staff members and have no concerns at this time. Therefore there was insufficient evidence to corroborate with the allegation. Based on statements and interviews conducted with staff, residents, review of resident files and facility file records, 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 was conducted. A copy of this report along was provided to the Administrator, Bryanna Luke.