complaint·January 30, 2026

License does not ensure there is enough staff to meet the needs of residents in care It was alleged that facility has a severe staffing shortage to meet the needs of residents because there is only one employee in the entire Memory Care floor and residents in Memory Care unit are not adequately supervised. During interview Administrator stated that staffing is scheduled in accordance and adjusted based on resident census. The Memory Care Director denied that the facility operates with insufficient staffing and reported that additional staff are scheduled during peak care hours and during staff shortage other available staff works overtime to cover. Staff interview revealed that staffing assignments are adequate to meet residents needs. Residents receive assistance as needed and the memory care unit is continuously supervised. Staff denied that residents are left unattended or residents’ care needs go unmet due to staffing levels. Interviews conducted with residents did not provide any information supporting the allegation. LPA review facility records which indicated that staffing levels was appropriate as per Memory Care residents’ census. During the Licensing visits, LPA observes sufficient staff present on site and providing assistance with activities of daily living. Residents at the Memory Care Unit were observed under staff supervision. No immediate health or safety concerns were observed. Based on interviews, records review and observations made, there is insufficient evidence to substantiate the allegation. Therefore the allegation is deemed unsubstantiated. Staff do not ensure that resident is able to receive confidential phone calls It was alleged that during the lunch hour, there is no one answering the phones at the front desk, only voicemail answers. The Memory Care residents are not even allowed to have a phone in their room or even a TV. Wheater they are able to respond or communicate to the calls Some memory care residents may not respond to the calls. If resident is not able to communicate than the calls may be transferred to the staff so they could assist residents with the calls. The residents interviewed during investigation, did not address any concerns regarding making and receiving calls. During Licensing Visits LPA observed front desk staff receiving and making calls as well as transferring phone lines to others. In addition, LPA made a call to the facility and staff present there responded to the call. Based on interviews and observation, there is no verifiable information to support the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. Exit interview conducted. Copy of this report issued.