Complaint·February 19, 2026

Relevant party stated that the facility eventually refunded R1’s estate the proper amount. LPA interviewed Administrator in December 2025, and she stated she did charge R1 for carpet replacement, but they were looking into it. Due to the information gathered, LPA finds allegation to be UNSUBSTANTIATED. LPA investigated allegation, “Staff do not respond to resident's call for assistance in a timely manner”. LPA interviewed relevant parties and staff and reviewed resident documentation. LPA interviewed relevant party in which she stated there were several times that R1 pushed their pendant for help, and it took from 28 minutes to 40 minutes for staff to respond. Relevant party stated R1 didn’t use their pendant much and only used it an emergency and staff were slow to respond. LPA interviewed 5 care staff in which they stated they usually respond within 5-10 minutes of when a pendant is pushed. At times if they are helping other residents, it may take longer. Of the 5 care staff interviewed, no one remembered a time that R1 was waiting for a long period of time for help. LPA interviewed administrator in which she stated there is a call button log, but it only stores information for the past 30 days. LPA was unable to review call lights pushed for R1 during their time at the facility. Due to the information gathered, LPA finds allegation to be UNSUBSTANTIATED. LPA investigated allegation, “Staff did not clean resident’s room”. LPA interviewed relevant parties and staff and reviewed resident documentation. LPA interviewed relevant party in which they stated R1’s room was lightly cleaned weekly by housekeeping, however of the 4 years R1 lived at the facility, the carpets were never cleaned, and a deep cleaning never occurred. Relevant party stated R1 was informed prior to move in that they would be receiving a carpet cleaning and deep cleaning annually. LPA reviewed R1’s admission agreement, and found that weekly housekeeping would be provided, however LPA did not observe anything about a deep cleaning and carpets being cleaned annually. LPA interviewed maintenance director in which staff provide weekly housekeeping which includes vacuuming, dusting, and bathroom cleaning. In addition, annually they provide deep cleaning which can include carpet cleaning and as needed cleaning. Maintenance Director provided LPA several dates in which spot carpet cleaning was provided but had no further documentation about annual deep cleanings. Due to the information provided, LPA finds allegation to be UNSUBSTANTIATED. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations occurred, and the findings are unsubstantiated. Exit interview was conducted.