complaint·April 29, 2026

Two (2) of the residents interviewed were involved in the facility resident council and stated that the facility management was in the process of hiring a new food service manager. Based on the interviews conducted, the Department’s investigation did not provide enough information to corroborate the allegation that staff did not provide adequate meals to residents in care. This allegation is unsubstantiated. It was alleged that residents are not provided sufficient activities. Information received indicated that the facility currently offer only one (1) or two (2) activities per day. LPA conducted a tour of the facility and observed a monthly activities calendar posted at the reception area. The activities calendar showed five (5) to six (6) activities per day, 7 days a week. LPA conducted interviews with nine (9) residents, all of whom confirmed the number of activities provided for the residents in care. LPA conducted an interview with the activities director who also confirmed the number of activities. This allegation is unsubstantiated. It was alleged that staff did not update resident’s care plan. LPA conducted interviews with the Administrator and Resident Service Director, both of whom stated that residents’ care plans are updated as needed when there are any changes in condition. Care plans are discussed with residents and/or residents’ responsible persons and usually stay the same unless any changes are requested. LPA conducted interviews with nine (9) residents. Three (3) residents interviewed have resided less than one (1) year and stated that they have discussed their care plans during the admission process. Five (5) residents interviewed confirmed that their care plans stayed the same after annual meeting. One (1) resident interviewed did not remember if there was any care plan. Based on interviews conducted, the Department’s investigation did not provide enough information to corroborate the allegation that staff did not update resident’s care plan. This allegation is unsubstantiated. It was alleged that staff did not provide timely assistance to resident in care. Information received indicated that there were three (3) instances where only one (1) caregiver on shift at night in the past two weeks. LPA conducted interviews with nine (9) residents, all of whom stated that they have received good services from the caregivers from both day and night shifts. LPA conducted interviews with two (2) staff members, both of whom stated that staff coverage is generally adequate, though shortages occur when a scheduled employee does not show up for work. In those instances, the staff member on duty is required to cover the vacancy. Based on interviews conducted, the Department’s investigation did not provide enough information to corroborate the allegation that staff did not provide timely assistance to resident in care. This allegation is unsubstantiated. Continued on LIC9099-C.... 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.