complaint·March 10, 2026

Continued from LIC9099 pendants with a personalized music tone that will play when pressed. Facility staff know which resident is calling based on the music being played. Facility does not have a pendant log system to review response times. LPA conducted interviews with facility staff and a resident. 5 of 5 facility staff interviews stated that facility staff are to respond to resident pendant calls as soon as possible. Staff interviews revealed that there is no specific protocol or policy for pendant response times. Interviews also revealed that out of 23 residents, there are only 5 or 6 residents that have a call pendant available to press. Interviews with Executive Director and Care Director, stated that it is expected that all facility staff respond to pendant calls as soon as possible and to help any resident that is calling. 4 of 5 staff interviews stated that there are zero residents at the facility that use a bedside commode, while 1 interview stated that there is 1 resident that uses a bedside commode. 5 of 5 staff interviews stated that most of the residents receive help with incontinence care or are taken to the restroom as needed. Interview conducted with Resident stated that they have observed staff to respond to their pendant button or to other resident pendants or calls for help quickly. Interview with Resident revealed that they have not observed facility staff to speak to them or to other residents at the facility in rude or inappropriate way and stated that the facility staff members treat them with kindness. Based on interviews conducted and observations made, these allegations are Unsubstantiated . A finding that a complaint allegation is Unsubstantiated means that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. Exit interview conducted. Copy of report discussed and provided to Executive Director and Administrator. Signature on form confirms receipt of documents.