complaint·August 26, 2025

At 10:22 AM, LPA interviewed a total of ten (10) residents, including R1 . At 9:45AM LPA conducted a records review of R1's file, as well as other relevant documents, including the physician's report, admission agreement, LIC 500, resident roster, appraisal needs and services, intake sheet, and other pertinent documents. Staff , revealed, that residents are referred to the medical specialist to get incidental medical care based on their health conditions or other related information warranting additional referr als to the skilled professionals. Nine (9) out of ten (10) residents, stated that facility staff always offer them assistance that is related to their medical care based on available information, overall assessment, and changes in their condition. A review of medical record revealed that the R1 was referred to the skilled professional due to the information they received from the 3 rd party who provided assistance to the R1 outside of facility. Based on observation, interviews and record review, a lthough this allegation may have occurred, there is not sufficient information to verify validity of the complaint. Therefore, the allegation is deemed UNSUBSTANTIATED at this time . Allegation #2: Facility staff bully resident. It was alleged that resident #1 (R1) spoke inappropriately and was bullied by staff #2 (S2). To investigate the allegation, LPA conducted a physical plant tour at around 10:00 AM. From 9:30AM to 2:00 PM, LPA interviewed the executive director (S1), four (04) staff,  and ten (10) residents. At 10:15 AM, LPA interviewed a total of ten (10) residents, including R1 . At 2:10 PM LPA conducted a records review of R1's file, as well as other relevant documents, including the physician's report, admission agreement, LIC 500, resident roster, appraisal needs and services, intake sheet, and other pertinent documents, including internal incident log. Staff revealed that they have never bullied or speak inappropriately to a resident and treats all residents with dignity and respect. Interview with nine (9) out of ten (10) residents revealed that they are happy living at the facility and that the overall staff are nice to them. No residents addressed any issues and concerns regarding S2. Residents also stated that S2 knows how to communicate with them and at time S2 may be firm if needed. Continue to LIC 9099-C Based on interviews and review of facility records did not reveal any information to support the allegation. Therefore, based on interviews, observation and record review, the allegation is deemed UNSUBSTANTIATED at this time . No health and safety issues were noted at the time of this visit. An exit interview was conducted, and a copy of the report was issued to the ED.