complaint·January 26, 2026

Second Allegation:- Staff throws things at resident. Three (3) out of three(3) facility staff members interviewed stated they did not witness S1 throwing things at resident. Three (3) out of three(3) facility staff members interviewed stated staff would never throws things at the resident, it never happened and staff ensures residents are well looked after. R#2 stated Staff looks after the residents well and always ready to assist them whenever they needed and always kind to them. Third Allegation:-Staff did not ensure resident's oxygen was plugged in/working properly Three (3) out of three(3) facility staff members interviewed stated R#1 was on oxygen as needed and would use it as needed. Based on interviews with three facility staff members and a review of admission records by LPA Singh, it was established that Resident #1, was prescribed oxygen on an as needed basis. According to staff members S1 and S2, paramedics who assessed R#1 noted that while their nasal cannula was in place and Staff indicated they would turn on the portable oxygen tank—which requires manual activation—only when needed. During this time, R#1’s oxygen saturation (SpO2) levels were reported in the high 80s to low 90s. Following the assessment, R#1 declined transport to the emergency room and signed an Against Medical Advice (AMA) form. Fourth Allegation:-Staff denied access to paramedics. Three (3) out of three(3) facility staff members interviewed stated Staff always responds to paramedics and assist residents if they need any help. Based on interviews with three facility staff members, it was indicated that staff consistently respond to paramedics and assist residents as needed . The staff reported that Resident #1 (R#1) refused transport to the hospital. It was further reported that Staff#1 initially told Paramedics that no one called them, as they were unaware that R#1 had called 911, but allowed them entry once the situation was understood. The investigation did not provide any evidence or witnesses that indicated these interactions took place or that there was any neglect/lack of supervision by the facility staff. There is insufficient evidence to prove that Staff yells at resident, Staff throws things at resident, Staff did not ensure resident's oxygen was plugged in/working properly, Staff denied access to paramedics, thus, the allegations are Unsubstantiated Therefore, based on the evidence gathered during the investigation, the allegations listed above is deemed UNSUBSTANTIATED. A finding that the complaints are UNSUBSTANTIATED means although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. An exit interview was conducted, and this report (LIC809) LIC 809C were discussed and provided to Licensee Ashish Bhambani .