complaint·September 15, 2025

Interviews conducted with staff revealed 5 out of 6 staff stated they have not witnessed residents spoken inappropriately by staff. 1 out of 6 staff stated that there was a staff at the time of the allegation that made inappropriate jokes with residents. Per executive director, there are no write ups for the staff in question and or no reports for any of the staff being disrespectful. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED . Regarding allegation: Staff are not answering residents’ call bells timely . It is alleged staff are ignoring the residents’ calls when using the call light. Interviews with residents revealed 9 out of 9 residents stated the staff respond to their call in a timely manner when using the call light. Interviews with staff revealed 6 out of 6 staff stated that when a resident uses the call light cord, a board that is visible to all staff in the dining room turns on for the room calling. Also, once the cord is pulled the staff see the light and hear the sound that turns on. Per staff, they respond to the residents' calls within 3-5 minutes. During the tour of the facility LPA tested 3 call light cords in residents' rooms which when pulled a loud sound that can be heard in the building is heard and a green light outside the residents’ room turned on. Staff responded to the call light calls within 2 minutes. LPA observed staff in each buildings. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED . Exit interview was conducted with Teresa Mapilis Administrator and a copy of this report was provided.