complaint·March 13, 2026

Allegation: Staff is sleeping during shifts. Based on interview statements obtained, there is insufficient and inconsistent information available. LPA received statements from R2 and R3 which indicated that they have not experienced staff sleeping during their shift. R1 stated staff were taking naps during the day, but could not remember the day or time this occurred. S1, S2, R2, and R3 all stated they have not experienced staff sleeping during their shift. Allegation: Staff did not administer medication as prescribed. LPA arrived at the facility on 09/23/2025 and conducted a medication count for R1, comparing the residents’ CSM and Medication Administration Record (MAR) with medications centrally stored for the residents. LPA observed no medications were refused. LPA observed medications given as prescribed. S1 provided documentation with R1’s doctor requesting a refill. Based on this information, the allegations are UNSUBSTANTIATED . Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred, and the findings are unsubstantiated. Exit interview conducted and a copy of the report was emailed to Administrator. Allegation: Staff yells at a resident in care. During the investigation LPA conducted interviews with staff and residents in care. In an interview with R2 and R3 both residents had stated they enjoyed living at the facility. R2 had stated they have never heard staff yelling at other residents in the facility. R3 stated that they have not heard any yelling throughout the facility by staff or by any other residents. Allegation: Staff did not give a resident an admission agreement. Based on records reviewed and interviews conducted, R1 did receive an Admission Agreement. On 09/23/2025 the Department observed a signed contract between R1 and the facility. Further, the Department was notified by R1 that they received the admission agreement when they moved into the facility. Therefore, the allegation is UNFOUNDED. A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis. Exit interview conducted and a copy of the report was emailed to Administrator.