Complaint·November 6, 2025

The remaining residents were not oriented to time and space the final resident was not present during today's visit Per interviews with 3 out of 3 staff deny all allegations. All 3 staff stated they have not yelled at or spoke inappropriately to a resident, hit a resident or used cold shower as retaliation. Interview with Administrator Noemi Figueroa stated that she confirmed that the staff she had in 2022 did not yell, speak inappropriately, hit a resident or use cold water as retaliation. Interviews with staff stated that there have been times when staff had to use a perineal spray after a resident soiled themselves and the spray may be cold. Therefore based on the preponderance of evidence through interviews the allegations staff yell at resident, Staff spoke inappropriately to resident , Staff hit resident in care and Staff used cold water to shower resident as a form of retaliation are determined to be UNSUBSTANTIATED, meaning that although the allegation may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violation occurred. No deficiencies cited. An exit interview was conducted and a copy of this report was provided.