complaint·December 5, 2023

R3 denies not be afforded that opportunity to bring representation. R3 indicated that nothing came of the warning on the letter and provided a copy of the letter to LPA. Facility administrator meets the qualifications for Administrator and has a current administrator certificate expiring on 12/15/2024. Therefore the allegations are deemed UNFOUNDED, meaning the allegations were false, could not have happened and/or is without a reasonable basis. Exit interview conducted and a copy of this report was provided to facility representative. Six out of six staff as well as resident confirm care being provided is meeting the resident's needs. Facility staffing schedule is as follows: Two caregivers, two LVN's and two Wellness support staff for 1st shft, one LVN, one caregiver and overlapping Wellness support for 2nd shift and two caregivers/ med techs for NOC shift. Facility is filling in with agency as needed and provided documentation as such. Facility confirms no staffing requirements are mandated by the Assisted Living Waiver program and the program conducts visits at the facility to observe residents. Six staff and three residents confirm communication in the facility is sufficient between management and residents. Facility conducts resident council meetings monthly for the residents. Management do not attend the meetings per department guidelines. Residents confirm knowing about the meetings and attending as they wish. Based on interviews conducted, LPA is unable to corroborate the allegations. Therefore, the allegations are deemed unsubstantiated, meaning that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted and a copy of this report was provided.