Complaint·May 12, 2026

highest practicable level of independence when toileting, transfer self independently, offer reminder to call for assistance when transferring. Interview with 4 of 4 staff stated R1 always gets changed and not left soiled, and when resident ask for tray services staff adjust R1 in bed for mealtime. R1 gets changed often and does not get left soiled for extended periods. Interview with 6 of 6 residents stated that they get the help they need from staff, have seen staff help R1, see staff providing help to R1 with meal trays, and staff always come to help them when they call for help. It is alleged that R1 is not treated with dignity and respect, specifically to R1 being treated roughly, unable to communicate with staff, and often being ignored by staff. Records review reflect resident appraisal states R1 diagnosed with depression, a little sign of confusion and forgetfulness, cognitive communication deficits, and not interested in socializing. Service plan reflects occasional forgetfulness with reminders, reminders to person, place, time, task, or personal hygiene. Interview with 6 of 6 residents stated staff treat them well, they have no issues to report. Residents can communicate with staff with no problem, do not wait a long time for help, and they are not rough with them. Residents state they have not see staff be rough with any residents. Interview with R1’s roommate stated that they have seen staff assist R1 with their needs, see staff able to communicate with R1. They have seen staff help R1 with feeding, changing them, and come to help when R1 calls for help. 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, the allegations are deemed Unsubstantiated. An exit interview was conducted with the Administrator and a copy of this LIC9099 report was left at facility.