complaint·June 24, 2025

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to deliver findings on the above allegation. LPA was greeted and granted entry into the facility and explained the reason for the visit. During the course of the investigation, LPA toured the facility and interviewed staff and residents. Regarding the allegation that facility has insufficient staffing to met the needs of the residents, the investigation revealed the following: Facility schedule indicates six caregivers and two med techs for 1st shift, six caregivers and one med tech for second shift and 4 staff on NOC shift. LPA observed adequate staffing on two different visits. Five out of seven staff state staffing levels are adequate and resident needs are being met. Four out of four residents state staffing levels are OK and have improved slowly since the facility opened. Four out of four residents indicate their needs are being met. Based on observations and interviews, LPA is unable to corroborate the allegation. Therefore, the allegation is deemed 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. An exit interview was conducted and a copy of this report this report was left at the facility.