complaint·March 23, 2026

The investigation revealed the following: regarding the allegation “Staff neglected the resident in care.” It is alleged staff neglected R1. Three (3) out of the three (3) residents interviewed by LPA Ramirez denied this allegation. Resident interviews revealed residents in care do not feel neglected by staff. Four (4) out of the four (4) staff interviewed denied this allegation. R1 is no longer at the facility and was not interviewed during LPA’s visit. During record review, LPA did not observe incident reports which indicated R1 was neglected while in care. During facility tour, LPA Ramirez toured three (3) occupied resident rooms and did not observe any deficiencies. LPA Ramirez observed residents in care to be well groomed and alert. On 12/20/2023, hospice staff interview conducted by LPA Mixon revealed that in December of 2023, facility staff did notify hospice staff about R1’s leaky ileostomy bag and hospice staff arrived to change R1’s bag and leave additional supplies. This interview also revealed that hospice staff trained facility staff on how to change R1’s ileostomy bag and hospice staff observed facility staff properly complete this task. On 12/20/2023, resident interview conducted by LPA Mixon did not corroborate this allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED . “Staff got angry with resident in care.” It is alleged S5 got angry with R1. Three (3) out of the three (3) residents interviewed by LPA Ramirez denied this allegation. Residents interviewed corroborated they felt “safe” at the facility and felt “respected” by staff. Four (4) out of the four (4) staff interviewed denied this allegation. R1 is no longer at the facility and was not interviewed during LPA’s visit. Interview with Administrator Mesropyan revealed R5 no longer works at the facility and resigned in December of 2024 to move back to their country. LPA attempted to contact R5 via telephone, but all attempts were unsuccessful. On 12/20/2023, resident interview conducted by LPA Mixon did not corroborate this allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED . No deficiencies were cited. Exit interview was conducted. A copy of this report was provided.