complaint·August 8, 2025

The investigation revealed the following: regarding the allegation “Staff prohibit resident from leaving the facility.” It is alleged staff prohibit resident#1 (R1) from leaving the facility. LPA Ramirez reviewed and obtained a copy of R1’s physician’s report, which revealed that R1 may not leave the facility unassisted. Interview with resident#1 (R1) revealed that R1 enjoys going on outings when R1 chooses to sign up for an outing. Five (5) out of the five (5) staff interviewed denied the allegation. Five (5) out of the six (6) residents interviewed denied the allegation. Interview with Staff#1 (S1) revealed that R1 may not leave the facility unassisted however, the facility offers in-house activities and community outings. S1 revealed residents can sign up for community outings if they choose to do so. LPA Ramirez reviewed and obtained a copy of the facility posted Activities Schedule for the months of August 2025 and July 2025. LPA Ramirez observed several community outings listed including, mornings walks, outings to museums, local ice cream parlors, local restaurants, local retail stores and local movie theaters. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED . No deficiencies were cited. Exit interview was conducted. A copy of this report was provided via email.