complaint·March 27, 2026

Regarding the allegation that staff are not meeting residents’ needs. Per interviews with 7 out of 7 staff stated they are able to meet residents needs. Per Kimberly all residents are assessed prior to moving into the facility to ensure they are appropriately fit. Interviews with 2 out of 5 residents interviewed on 12/04/2025 stated facility offers different activities. 3 of the residents were unavailable to be interviewed or not oriented to space and time. Regarding the allegation that staff are not allowing residents to communicate, Per interviews with 7 out of 7 staff they are not restricting any residents from communicating with anyone. During interviews staff expressed understanding for resident’s personal rights including residents having communication. Regarding the allegation staff do not have planned activities. Per interviews with 7 out 7 staff stated they offer different activities including walks out of the facility. Per staff they utilize Youtube for chair workouts. Interviews with 2 out of 5 residents interviewed stated facility offers different activities. Regarding the allegation staff are unable to communicate effectively. Per interviews with 7 out of 7 staff indicate they are able to communicate effectively with residents and their families. LPA Mendivil was able to individually interview caregiving staff and they were able to communicate with LPA Mendivil. Regarding the allegation staff are not providing water to a resident Interviews with 7 out of 7 staff stated residents are provided with water and juice throughout the day. LPA Mendivil observed on 12/04/2025 and again on 03/27/2026 all residents have their own cups with water or juice. Interviews with 2 out of 5 residents stated they have water or juice available at all times. Regarding the allegation Staff are overmedicating a resident. Per interviews with 7 out of 7 staff stated they are not overmedicating residents. Staff stated they give medications are prescribed and would not give more than prescribed. Interviews with 2 out of 5 residents indicated they are not being overmedicated. Regarding the allegation resident sustained multiple bruises due to staff neglect or physical abuse. Per interviews with 7 out of 7 staff indicate staff are not neglectful or abusive towards residents in care. 2 out of 5 residents denied that staff is abusive or neglectful. Regarding the allegation staff do not provide the appropriate therapy per interviews with 7 out of 7 staff stated they will follow physician's orders for any therapy needed for the residents. Therefore based on the preponderance of evidence through records reviewed and interviews the allegations are determined to be UNSUBSTANTIATED, meaning that although the allegation may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violation occurred. No deficiencies cited. An exit interview was conducted and a copy of this report was provided.