complaint·October 1, 2025

LPA observed 12 response times over 19 minutes out of 319 responses reviewed and none were in the memory care unit. Six out of six staff state resident needs are being met and responses to the emergency pull are timely. Based on interviews conducted and records reviewed, LPA is unable to corroborate the allegations. Therefore, the allegations are deemed unsubstantiated, meaning that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted with Administrator and a copy of this report was provided to facility.