complaint·August 6, 2025

Staff neglect resulted in a resident's death Records reviewed indicate that Resident R1’s death was not due to facility neglect. Medical records reviewed do not indicate there was staff neglect for R1. The Death certificate does not indicate that R1’s death was questionable in any manner. Therefore, the allegation staff neglect results in a resident’s death is unfounded. Staff did not ensure a resident was properly fed while in care Records reviewed indicated that R1 was eating meals appropriately. Interviews conducted with staff indicated that R1 was eating meals and did not refuse meals while in care. Staff encouraged R1 to eat and drink on a daily basis. Therefore, the allegation that staff did not ensure a resident was properly fed while in care is unfounded. Staff did not report incidents involving a resident Records reviewed indicate that staff were contacting R1’s responsible party (RP) when an incident occurred. Internal incident reports documented contact with R1’s RP indicating that when an incident occurred staff was contacting R1’s RP to report the incident and update on R1’s status. Therefore, the allegation staff did not report incidents involving a resident is unfounded. Based on records reviewed and interviews, LPA finds the above allegations to be UNFOUNDED- meaning that the allegations were false, could not have happened and/or is without reasonable basis. Exit interview conducted with the Administrator. Copy of report was given to facility.