complaint·December 2, 2025

Based on the review of the resident assessments, the resident assessment dated July 26, 2018 indicates R1 began receiving care at a level 5. However, LOC was reduced to a level 1 as per resident assessment dated October 25, 2022. It was noted on this assessment that the LOC was dropped after speaking to R1's wife. There was no signature obtained on this assessment. On November 22, 2022, LOC increased to a Level 3. It was noted on the assessment and narrative charting dated November 23, 2022 at 6:37pm that R1 refused to sign updated assessment. The records reveal that the signatures were not forged and was left blank. Therefore, this agency has investigated the complaint and based on the interviews which were conducted and the records that were reviewed, the following allegation, Resident's signature was forged on a document is deemed UNFOUNDED. We have found that the complaint was unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. We have therefore dismissed the complaint. An exit interview was conducted with Executive Director Mike Marion, and a copy of this report was provided at exit. The witness who had observed the interaction reported that the RN did not issue threats, but instead explained to R1 that their behavior and actions could result in an eviction due to policy violations regarding medications. The witness indicated that R1 had immediately reached out to their attorney which aligns with the narrative charting noted on July 24, 2024 at 2:29pm. The charting documented that R1's attorney agreed to facilitate R1's return of their medications. One out of three staff confirmed that R1 had prior history of not returning their medications after leaving the community. Therefore, based on the interviews which were conducted and the records that were reviewed, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the following allegation, Staff threatened to evict a resident in care is deemed UNSUBSTANTIATED. An exit interview was conducted with Executive Director Mike Marion, and a copy of this report was provided at exit.