complaint·March 28, 2026

During the health and safety walk-through, LPA did not observe any concerns related to the allegation. LPA observed residents eating lunch, and the menu reflected that lunch included a turkey sandwich or grilled chicken sandwich and mixed fruit. Regarding the allegation, “Staff gave resident the wrong medication,” LPA interviewed five staff members, all of whom denied the allegation. LPA also conducted a telephone interview with Resident 1’s responsible party (R1’s RP), who advised that R1 had never been given the wrong medication. LPA was unable to obtain reliable resident interviews because the residents were unable to provide consistent statements due to their current medical and cognitive condition. In addition, LPA observed the medication administration process and noted that the Medication Technician verified the resident’s name against the prescription label and the resident’s photograph on the screen before administering medication. Regarding the allegation, “Staff are restraining resident,” LPA did not observe any physical signs on any resident, such as bruising or other visible marks that would indicate possible restraint or abuse. LPA also interviewed five staff members, all of whom denied the allegation. In addition, LPA conducted a telephone interview with R1’s responsible party, who stated that R1 had never been restrained. Based on interviews, observations, and record review, the Department was unable to determine that the allegations occurred as reported. Although the allegations may have happened or may be valid, there is not a preponderance of evidence to prove or disprove that the alleged violations occurred. Therefore, the allegations are deemed unsubstantiated. An exit interview was conducted Executive Director (ED) Patricia Miller and a copy of this report was provided.