complaint·November 4, 2025

inappropriate. Social Worker for Resident R1 stated that she does not think there is any evil intent to touching having occurred. Stated that staff are very nice and there have been no issues at all. Resident's R2-R4 stated that staff has never touched them inappropriately and never seen them touch R1 inappropriately. Said they have had blood pressure checked and it has always been appropriate. All said staff are great and the house is peaceful till R1 arrived. 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 allegations are Unsubstantiated. In regards to the allegation Staff are not following doctor's orders for resident, based on interviews conducted and information gathered Resident R1 revealed that the doctor prescribed new meds and he never heard the doctor say don't take meds. Resident's R2-R4 stated they always have received their medication and staff has always done a good job. Said they heard R1 stating he doesn't want to take medication because of the side affects. Staff S1, S2 and the Administrator stated that R1 has been receiving medication daily and they initial each day on the MAR's Log. Review of medication for R1 for November show all doses administered as prescribed. Physician's Order dated 10/25/25 was observed by the LPA which included 4 medications. 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 allegations are Unsubstantiated. In regards to the allegation Staff are not providing adequate food service to resident based on interviews conducted and information gathered Resident R1 stated that the hair could have been from his blanket or cap. Said not sure. Social Worker for Resident R1 stated that not sure about the hair, but it is consistent with R1's behavior. R3 stated to be here 1 and 1/2 years and never has there been a hair in their food. Said they all wear hair nets and it easily could have been R1's hair. R2 and R4 also stated staff always wear hair nets and they have never had hair in their food. Administrator and Staff S1-S2 stated they always wear hair nets 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 allegations are Unsubstantiated. In regards to the allegation Staff make resident feel uncomfortable, based on interviews conducted and information gathered Social Worker for Resident R1 stated that there has been no issues with this facility. Stated staff are nice and residents are not aggressive. Said there have been no visits from outside agencies until now. Stated that there are other residents that are in the home and they have always said the home is very peaceful, comfortable and like a family. Spoke with Administrator, Staff S1 and S2 who all stated the residents are always taken care of. It is always peaceful and they are like a family. Said they are nice to R1 and assist like they do for all with medication and food. Always try to make residents comfortable. Resident R2-R4 said staff always have made them feel comfortable and said they have done the same treatment for R1. 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 allegations are Unsubstantiated. In regards to the allegation Staff are not providing a safe environment for resident, based on interviews conducted and information gathered Resident's R2- R4 all stated that R1 was the one who tried to attack staff and also them. All said it is R1 who has made the place unsafe. All stated that Staff S1 came to check on residents outside and then R1 chased staff in. R3 stated he went to stick up for Staff S1 and R1was then yelling and screaming. Social Worker for R1 stated the staff and residents are very nice and there has been no issues until now. Administrator stated it is a very safe environment and there are no aggressive residents. Said it is not unsafe and can freely walk all over. Staff S1 and S2 stated that it is very safe and all have been here a long time. If residents are outside the house they will check on their safety. 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 allegations are Unsubstantiated. Exit interview conducted and report provided to Administrator.