complaint·January 13, 2026

Licensing Program Analyst (LPA) Melissa Parks arrived on Tuesday January 13, 2026, to conclude a complaint investigation regarding the above allegation. LPA met with Administrator Srey and explained the purpose of the visit. LPA interviewed staff who stated that residents press their call buttons or staff do routine checks on residents. According to the complainant, R1 had a fall which the staff did not respond to timely. LPA interviewed staff who stated that R1 did not have a fall during the month of November. Staff stated that R1 requires frequent checks due to R1's Dementia. LPA reviewed R1’s hospice progress notes. Progress notes did not mention any bruise, evidence of a fall, or any complaints of pain. Based on information obtained during the investigation, LPA finds the allegation to be UNSUBSTANTIATED- a finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Exit interview. A copy of this report was provided to the Administrator.