complaint·November 26, 2025

Allegation: Staff are not meeting resident’s incontinence needs. Based on staff interviews, residents are checked every two hours. Based on observation skin is intact and no redness or skin breakdown observed. 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. Allegation: Staff are not providing quality food service to residents. Based on observations during facility visits, food were observed to be stored according to regulation standards. The facility employs CA certified nutritionist/ dietitian. No concerns from residents were reported based on interviews conducted. 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. Allegation: Staff do not respond to residents’ calls for help. Based on interviews and records reviewed, facility employs three staff members per shift that provide care only for memory care section of the facility. Each resident room is equipped with call light system that is observed operational. 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. Report continues on attached LIC9099-A