complaint·December 17, 2025

LPA conducted interviews with seven (7) residents, all of whom stated that the shower chairs have been clean all the time. LPA conducted an interview with an outside agency personnel member who stated that the facility has always appeared to be clean whenever they visited the facility for their patients. LPA’s observations of the facility corroborated the statements from the staff members, residents and the outside agency personnel. LPA conducted a tour of the facility and observed the shower room and the shower chairs to be in clean condition. Based on interviews conducted and observations, the allegation that facility does not provide clean equipment for resident is unsubstantiated . It was alleged that facility does not have sufficient staffing. Information received indicated that all cottages of the facility are short staffed. LPA conducted an interview with memory care director who stated that they have not experienced short staffing. The memory care director explained that there are 3 caregivers for 2 memory care units, one (1) medication technician for two (2) memory care units, one (1) caregiver for each assisted living unit, and one (1) medication technician for four (4) assisted living units. LPA’s interview with other seven (7) staff members corroborated the memory care director’s statement. LPA conducted interviews with seven (7) residents, all of whom stated that they have not experienced staff shortages. LPA’s review of staff schedules corroborated the statements from the memory care director and the staff members interviewed. LPA conducted a tour of the facility, observed, and verified that those stated number of staff members were on duty. Based on interviews conducted, observation, and record reviews, the allegation that facility does not have sufficient staffing is unsubstantiated . A finding that the complaint is UNSUBSTANTIATED means the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted where a copy of this report was provided.