Complaint·January 15, 2026

CONTINUED FROM LIC9099 Regarding the allegation that Facility staff is engaging in retaliatory conduct against a resident , the following has been concluded: Multiple communications from facility staff were made to the responsible party for resident R1 to inform them of the potential need to seek alternate placement due to the growing inability of facility staff to provide adequate care to R1 due to changes in their diabetes management. It is alleged that the requests to relocate were made after citations related to the management of R1's medication were issued by the Department as part of the investigation of complaint 22-AS-20250402163711. Even though, the timing matches a potential retaliatory intent, the administrator also provided extensive documentation supporting their claim of a change in condition. There is therefore insufficient evidence to adequately corroborate that retaliation has been taking place. Regarding the allegation that Staff is being verbally inappropriate in front of facility residents , none of the three visits conducted allowed licensing staff to observe potential inappropriate verbal behavior from staff. A majority of residents interviewed denied having ever witnessed or been subjected to inappropriate verbal behavior. One staff and one resident interviewed appear to identify one potential staff member who could have made inappropriate comments without identify clear circumstances or providing sufficient evidence. The staff member in question is no longer employed by the facility. Regarding the allegation that Facility staff did not report health incidents appropriately to licensing staff , multiple incident reports for resident R1 were submitted to licensing staff as required during R1's period of admission. No specific instances of hospitalization or health incidents that would have failed to be reported were evidenced during the investigation. Regarding the allegation that Facility staff did not notify a resident's responsible party of a serious health incident , the following has been concluded: Based on staff interviews and a review of text and email communications between staff and R1's responsible party, licensing staff was able to establish a clear pattern of updates and communication regarding R1's health condition and management of the diabetes diagnosis. As a result, the allegations are found to be Unsubstantiated, meaning that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove or refute the alleged violations occurred.