complaint·January 13, 2026

The Department conducted five staff interviews. Five out of the five staff interviewed denied the allegation and stated that staff followed the facility's COVID-19 protocols. Regarding the allegation that, staff did not observe resident for change in condition, the following has been concluded: It was alleged that the facility did not observe a change of condition for Resident #1 (R1). The Department was unable to conduct an interview with R1 for this complaint due to R1 no longer residing at the facility. The Department conducted six resident interviews. Six out of the six residents interviewed denied the allegation and stated that staff provide them appropriate supervision. The Department conducted five staff interviews. Five out of the five staff interviewed denied the allegation and stated that residents are provided with adequate supervision to determine when they have a change of condition. Regarding the allegation that, facility does not meet resident's dietary needs, the following has been concluded: It was alleged that R1's dietary needs were not met. The Department was unable to conduct an interview with R1 for this complaint due to R1 no longer residing at the facility. The Department conducted six resident interviews. Six out of the six residents interviewed denied the allegation and stated that their dietary needs are being met by the facility. The Department conducted five staff interviews. Five out of the five staff interviewed also denied the allegation. Regarding the allegation that, resident's bathroom faucet does not deliver hot water, the following has been concluded: The Department conducted six resident interviews. Four out of the six residents interviewed denied the allegation and stated that they have not had any issues with the hot water in their bathrooms. However, two out of the six residents interviewed corroborated the allegation and stated that they have had previous issues with the hot water in their bathrooms. The Department conducted five staff interviews. Three out of the five staff interviewed denied the allegation. However, two out of the five staff interviewed corroborated the allegation and stated that there were previous issues with the hot water in certain resident bathrooms. The Department tested the hot water in each of the six resident's bathrooms. The hot water in each of the resident bathrooms measured within regulatory requirements. Regarding the allegation that, resident's personal alarm system is inoperable, the following has been concluded: The Department conducted six resident interviews. Six out of the six residents interviewed denied the allegation and stated that they have not had any issues with their personal alarm system. CONTINUED ON LIC9099-C The Department conducted five staff interviews. Five out of the five staff interviewed denied the allegation. Based on the evidence gathered during the investigation, the Department is unable to ascertain if the allegations occurred as reported. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, the five allegations are deemed UNSUBSTANTIATED. An exit interview was conducted with Executive Director Melanie Washington and a copy of the report was provided. Based on the evidence gathered during this investigation, the complaint is UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without reasonable basis. An exit interview was conducted with Executive Director Melanie Washington and a copy of the report was provided.