complaint·October 27, 2025

medication, able to administer own medication. Need and services plan indicates that R1 is independent and does not require a level of care with services provided. Interview with staff stated that R1 is very independent and does not have a level of care due to it. Staff stated that R1 has only one medication and is not in the medication management to administer it. Interview with a witness stated that there are no concerns noted for R1 and that they are not concerned that R1 is taking double the dose of medication. It is alleged that staff did not address the resident’s (R1) change in condition. Interview with staff stated that they have not noticed there to be a change in condition for R1 and that R1 is very independent. R1 is very active in the community and is always observed by staff around the community throughout the day. Staff stated that care staff have not reported any concerns in R1’s condition that require attention. Interview with a witness stated that R1 has not had a change in condition and their primary diagnosis has not changed from what it was when they moved in. They had no changes in condition to report to staff or concerns. Records review revealed that upon admissions to the facility R1 primary diagnosis is MCI (mild cognitive impairment) and that has not changed. Preplacement appraisal reflects resident is ambulatory without assistive device, no sign of confusion, has a service dog, thyroid and no major illness. Admissions assessment scored at 0 and does not require any level of care. Needs and services plan reflects that resident is independent, and medication self-administered, no bathing assistance required. Based on the information mentioned above, 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 violations occurred; therefore, this allegations are deemed Unsubstantiated. An exit interview was conducted with Executive Director and a copy of this LIC9099 report was left at facility.