Complaint·April 15, 2026

A follow up interview with R1 to gather further information could not be conducted due to R1’s passing. Interview with Staff 2 revealed that R1 had a family member who would direct R1 to not take certain medications and on one occasion observed the family member remove a pill from R1’s hand. Additionally, S2 noted that the family member would often contact for medical assistance when it wasn’t needed. A review of records corroborated statements made by S2. On April 24, 2020, the county conservator assigned to R1 contacted the facility and authorized a family member to speak with R1 twice a week for 10 minutes, with the calls to be supervised. Shortly after this communication, paramedics arrived at the facility, reporting that a family member had requested assistance. Upon assessment, paramedics determined that R1 was sleeping on the couch and did not require medical attention. On 4/26/2020, a family member called paramedics reporting that R1 was having a stroke. The fire department responded and assessed R1, determining that R1 appeared normal and stable throughout their assessment. Regarding the allegation facility staff yelled at resident it was alleged that a staff member was verbally aggressive with R1. AW1 reported that they were visiting R1 inside R1’s room when they overheard an individual loudly instructing R1 to shut the door. AW1 stated they did not leave the room and therefore could not confirm whether the voice belonged to a staff member or another client in care. AW1 could only speculate the voice may have been a staff member, describing it as deep and strong. Interview with staff 2 reported they had not observed any staff be verbally aggressive with R1. A review of records such as Special Incident reports and facility consumer notes did not reveal any reference to a complaint or incident relating to the allegation and R1. For the allegation that facility staff confiscated Resident's dog, it was alleged the facility confiscated R1’s dog in June of 2019. A review of records revealed a pet agreement was signed by R1’s representatives on 8/16/2017. Interview with Executive Director Megan Blacher reported that pets are allowed in Assisted Living, however, a policy is in place to ensure proper care. Executive Director Blacher noted that if a resident is incapable of properly caring for the pet, arrangements are made with family unless they decline and then proper authorities would be contacted for assistance. Interview with Staff 2 reported that R1 had a dog that was removed by a family member and not returned back to the facility. Interview with Additional Witness 1 was attempted and did not respond to multiple requests. Interview with R1 could not be conducted due to their passing. Interview with Witness 2 (W2) was attempted and did not respond to multiple requests. No further information could be obtained. Continued on LIC 9099-C. Based on interviews, record reviews, and observations, the allegations that staff alleging facility staff did not provide resident with requested medical aid, facility staff yelled at resident and facility staff confiscated resident's dog have been deemed UNSUBSTANTIATED. A finding that the allegation is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted. A copy of this report was provided to Executive Director Megan Blacher.