complaint·May 5, 2026

Based on a review of records, there was no documentation indicating that R1 was hospitalized. LPA also attempted to obtain additional records/information regarding the allegation; however, further details could not be obtained from the facility, and current facility staff were not working at the time of the alleged incident. Based on interviews and records reviewed during the investigation, LPA Lee was unable to corroborate the allegation. It was alleged that staff neglected residents’ calls for help multiple times. During the course of the investigation, the Department conducted interviews with facility staff, residents in care, and a resident’s responsible party. Based on interviews with facility staff, it was reported that the typical response time to residents’ calls for assistance is approximately five minutes. However, depending on staffing levels and residents’ needs, response times may occasionally take longer, but no longer than 15 minutes. Interviews with five out of five residents indicated that they are provided pendant call necklaces and reported no concerns regarding staff not responding to call pendants. Residents stated that response times are usually immediate, and at the longest, within approximately 15 minutes. In an interview with a resident’s responsible party, it was stated that during one visit, their mother activated the pendant, and facility staff “came immediately.” LPA also attempted to obtain additional records, including pendant call logs related to the allegation; however, these documents could not be obtained from the facility, and current staff present were not working at the time of the alleged incident. Based on interviews and records reviewed during the investigation, LPA Lee was unable to corroborate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did nor did not occur, therefore, the allegation is unsubstantiated. An Exit Interview was conducted with (FDA) Arrellano and a copy of this report was provided to the facility via email. A certified copy will be sent to the facility mailing address.