complaint·April 17, 2026

Regarding the allegation, staff allowed resident to leave the facility without staff supervision, the following has been concluded: The Department conducted eight resident interviews. Eight out of the eight residents interviewed denied the allegation and stated that they have never been left without staff supervision. The Department conducted six staff interviews. Six out of the six staff interviewed denied the allegation and reported no knowledge of an incident in which a resident was able to leave the facility without staff supervision. Regarding the allegation, staff did not provide nutritious meals to residents in care, the following has been concluded: During the investigation, the Department inspected the food that was being provided to the residents in care. The Department observed the facility provided various fruit and vegetable options, as well as different protein sources. The Department observed the food to be of good quality and to be free of any mold. The Department conducted eight resident interviews. Eight out of the eight residents interviewed denied the allegation and reported that they were satisfied with the food that is served to them. The Department conducted six staff interviews. Six out of the six staff interviewed also denied the allegation. Regarding the allegation, staff did not store food in a safe and healthful manner, the following has been concluded: The Department inspected the facility's food storage areas during it's visits on November 26, 2025, and on April 17, 2026. During both visits, the Department observed food to be stored in appropriate containers and to be labeled. The Department observed the food to be free of any mold and observed that the facility takes all the necessary precautions to store food safely. The Department also observed the facility's kitchen areas to be clean. The Department conducted six staff interviews. Six out of the six staff interviewed denied the allegation and stated that food is stored in a safe manner. Regarding the allegation, staff did not follow proper reporting requirements, the following has been concluded: The Department conducted six staff interviews. Six out of the six staff interviewed denied the allegation and stated that the facility has always followed the reporting requirements. The six staff interviewed also stated that the appropriate parties, such as families and doctors, are always notified when an incident occurs. CONTINUED ON LIC9099-C 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 Christine Greenway and a copy of the report was provided.