complaint·July 10, 2025

Allegation: Staff did not ensure resident uses designated smoking area to smoke - Unsubstantiated ED stated that facility does have a designated smoking area outside. Residents are good about smoking in that area. Resident interviews revealed they do not have issues with residents who utilize the smoking area. Allegation: Staff did not prevent resident from making inappropriate comments towards other resident's - Unsubstantiated Staff interviews revealed that have not heard of residents doing this. Staff did say that residents will make inappropriate comments to staff but not other residents. Staff interview further revealed that if they notice a resident becoming agitated they will intervene and redirect. Resident interviews revealed they could not recall anything like this happening. Allegation: Staff did not clean up after resident's pet.- Unsubstantiated Interview with ED revealed they only have two (2) pets in the facility now. Going forward the facility is no longer allowing pets in the facility due to issues in the past. Resident interviews revealed they have not had any issues with other residents pets. Staff interviews revealed that if they have seen poop on the floor they will clean it up immediately. Based on interviews conducted by the Department and records review, the preponderance of evidence standards has not been met. Therefore, the above allegation is found to be UNSUBSTANTIATED. A finding that a complaint allegation is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. At this time no citations were issued. Exit interview was conducted and a copy of this report was provided to the facility.