complaint·September 3, 2025

Regarding the allegation that staff was rough with resident, the following was revealed: During the course of the interviews with residents, R1 reported that staff have never been rough with her. Per R1, staff are respectful. R2 stated that staff have not been rough when helping her. Per R3, staff have never been rough with her. R4 reported that staff have never grabbed him in a rough manner. During the course of the interviews with staff, S1 reported that she has never seen staff grabbed a resident in a rough manner. Per S1, she has never been rough with the residents. S2 stated that staff are never rough with the residents. Regarding the allegation that staff speak inappropriately to resident, the following was revealed: During the course of the interviews with residents, R1 reported that staff have never spoken to her inappropriately. Per R2, staff do not speak to her inappropriately and stated that staff are respectful. R3 reported that staff have never spoken to her inappropriately. Per R4, staff have never spoke to him inappropriately . During the course of the interviews with staff, S1 reported that she has never spoken to the residents inappropriately. S2 stated that she has never witnessed staff speaking inappropriately to the residents. Regarding the allegation that facility shower room is not clean, the following was revealed: During the subsequent visits on August 22, 2025, and September 3, 2025, LPA toured the facility and observed that the showers were clean. During the course of the interviews with residents, R1 reported that her bathroom is always clean. Per R2, her shower is clean and stated that her bathroom gets clean every other day. R3 reported that her shower room is clean and reported that her bathroom gets cleaned weekly. Per R4, his shower is clean and reported that his bathroom gets cleaned weekly or every other day. During the course of the interviews with staff, S1 reported that the shower rooms get cleaned daily. S2 stated that the shower rooms are always clean. Regarding the allegation that facility does not have enough staff to meet the residents’ needs, the following was revealed: During the course of the investigation LPA reviewed documents including the New Horizon Lodge, Inc. staff schedule dated August 10, 2025, through August 23, 2025. Per staff schedule on average there are two caregivers and one Medication Technician (MT) for the morning shift from 6:00 a.m. to 2:30 p.m. and for the afternoon shift from 2:00 p.m. to 10:30 p.m. and there is one caregiver and one MT for night shift from 10:00 p.m. to 6:30 a.m. CONTINUED ON LIC9099-C... During the course of the interviews with residents, R1 reported that the facility has enough staff to meet the residents' needs. Per R2, the facility has enough staff and reported that staff are stable. R3 stated that the facility has enough staff to care for the residents. Per R4, there are enough staff to meet the residents' needs and stated that staff are nice and helpful. Based on the information gathered during the investigation and review of documents obtained, LPA is unable to ascertain if the allegations occurred as reported due to conflicting information. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove or refute the alleged violations occurred; therefore, these allegations are deemed UNSUBSTANTIATED. For today’s visit, there were no citations issued per Title 22, Division 6 of the California Code of Regulations. LPA conducted an exit interview with AD Barrios, and a copy of this report was provided to the facility.