complaint·July 24, 2025

Per record review, LPA Rodriguez observed that there was no documentation regarding this incident with (S1) and that S1 was trained on how to care for residents and resident rights. During the tour of the facility, LPA Rodriguez observed S1 on the Memory Care unit cleaning the hallway. It was alleged that facility staff handled resident(s) in a rough manner. LPA Rodriguez conducted 5 resident interviews, of which all 5 interviews did not corroborate with the allegation. 2 out of the 2 staff interviews did not corroborate with the allegation by verifying that there has not been an instance where staff handled resident(s) in a rough manner. Per record review, LPA Rodriguez observed that there was no documentation regarding this incident and that staff are trained on how to care for residents. During the tour of the facility, LPA Rodriguez observed that staff were assisting residents, and both staff and resident(s) were calm and not being handled roughly. It was alleged that facility staff spoke inappropriately to resident(s). LPA Rodriguez conducted 5 resident interviews, of which all 5 interviews did not corroborate with the allegation. 2 out of the 2 staff interviews did not corroborate with the allegation by stating that if a resident complained about staff, then management will meet with that staff member, and will also conduct a corrective action plan. Per record review, LPA Rodriguez observed that there was no documentation regarding this incident and that the corrective action plan taken with staff 1 (S1) was due to an unrelated issue (S1 excessive absenteeism) from the allegation. It was alleged that facility staff did not treat resident(s) with respect. LPA Rodriguez conducted 5 resident interviews, of which 3 out of the 5 interviews did not corroborate with the allegation, however 2 out of the 5 resident interviews corroborated with the allegation by stating that staff do not treat resident(s) with respect due to staff implementing “too many rules” (such as having to be respectful to one another, no smoking in room, no foul language). 2 out of the 2 staff interviews did not corroborate with the allegation by stating that there have not been complaints about staff being disrespectful to residents, however there have been complaints about between staff and staff regarding staff 1 (S1) being lazy, but not regarding how staff treats residents. It was alleged that facility staff did not prevent resident from hitting another resident. LPA Rodriguez conducted 5 resident interviews, of which all 5 interviews did not corroborate with the allegation. However, 3 resident interviews stated that they would hit another resident as self-defense if they felt like they were being disrespected but verified that they have not done so. 2 out of the 2 staff interviews conducted did not corroborate with the allegation, however 1 out of the 2 staff interviews specified that there was an instance in the past where resident 1 (R1) and resident 2 (R2) were out in the community without staff, and R1 hit R2, to which upon their return to the facility, that was when staff were notified. Based on LPA’s interviews which were conducted, review of documents obtained, and observations, LPA is unable to ascertain if the allegation occurred as reported. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, this allegation is deemed UNSUBSTANTIATED. An exit interview was conducted with COO Shen. A copy of this report was explained and provided during the visit.