Complaint·February 28, 2025

Allegation #2: S1 and Executive Director Marc Pacia (S2) confirmed that R1's portable oxygen equipment was obtained through a Durable Medical Equipment (DME) provider and is managed by the resident and/or their family. R1's needs and care plan indicate that minimum assistance with the resident's canula is required, but the overall monitor operation or functionality of portable oxygen equipment is the responsibility of the resident and/or family. Based on the evidence gathered, there is insufficient proof to support the allegations that facility staff failed to provide medication as prescribed or to ensure that residents’ oxygen equipment was operable. As such, both allegations are deemed UNSUBSTANTIATED at this time. This report was signed by LPA Javier Prieto and Executive Director Marc Pacia, with a copy provided to the facility.