complaint·December 2, 2025

In regards to the allegation Resident sustained injury due to staff neglect, based on interviews conducted and information gathered it was revealed by the Hospice Nurse that signs of abuse were not observed. Said there were no bruises from a fall and no bleeding. Interview with Resident R2- R5 who stated that staff treats them well and they assist with food, medication and hygiene. Have not had any issues with neglect and that they were unaware of Resident R1's alleged incident. Primary Caregiver stated that Resident R1's mouth was cleaned inn the bathroom and had all teeth after that. Not sure what occurred, but said Resident R1 has gum disease and it could be old and decaying and R1 lost it. Assistant Administrator stated that R1 had own private caregiver till R1 was comfortable at the facility. Stated that the private caregiver brushed R1's teeth and was at the facility for most of R1's stay and said private caregiver didn't notice anything. Staff S1- S4 all stated that R1's private caregiver was with R1 and brushed R1's teeth and took care of R1's feedings. All stated they did not observe any neglect of R1 or any resident and said they treat all residents well. 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. Exit interview conducted with Assistant Administrator Diana Castellanos and report issued.