Complaint·January 16, 2026

CONTINUED FROM FORM LIC9099-A During the present visit, LPA conducted additional interviews with facility staff. Regarding the allegation that Staff do not have emergency procedures for residents , the following has been concluded: Based on staff interviews and records reviewed after the initial visit, all staff members scheduled are receiving training on emergency response. It was also clarified that staff is under the instruction to call 911 in case of medical emergencies with the exception of some hospice residents for whom the initial triage and assessment of the relevance of a hospital transfer is first referred to the hospice nurse on 24-hour duty. Regarding the allegation that Staff did not safeguard resident's personal belongings , the following has been concluded: it had initially been alleged that R1's hearing aids had been misplaced, however they were confirmed prior to the visit to have been kept alongside the medication central storage while being charged. The presence of the hearing aids was confirmed during the initial visit. Additionally, a review of R1's records showed that the resident's responsible party had declined to inventory valuable items upon admission. Regarding the allegation that Staff are not allowing resident to have visitors , the following has been concluded: Interviews with witnesses confirmed that regular visits from R1's friends and family had effectively occurred, as confirmed by a review of the facility's visit log conducted during the initial visit. Additional resident interviews also evidenced that residents were free to receive their loved ones with no restrictions. As a result, all three allegations are determined to be Unfounded, meaning that the allegations are false, could not have happened and/or are without reasonable basis. An exit interview was conducted and a copy of the report was provided. CONTINUED FROM FORM LIC9099 During the present visit, LPA conducted additional interviews with facility staff. Regarding the allegation that Staff are not meeting resident's needs , the following has been concluded: Resident R1 was admitted to the facility on December 14, 2025 with a primary diagnosis of Senile degeneration of the brain. Prior to being admitted, R1 was living at home with hospice services already in place. Hospice services have been provided at the facility since R1's admission. During the investigation, both the hospice plan of care and individual needs and services assessments for R1 were reviewed and appear to evidence adequate assessment of care needs. R1 was interviewed during the visit, however R1 appears to only be partially alert and oriented to time, place and person and is unable to respond to simple verbal prompts. No signs of distress or pain visible during the investigation. Per a review of R1's records, power of attorney has been given to R1's spouse who was interviewed via telephone and denied any concerns regarding the adequacy of care being provided at the facility. Other residents interviewed confirmed being satisfied with the care received at the facility as well. As a result, the allegation is determined to be Unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred. An exit interview was conducted and a copy of this report was provided to a facility representative.