Complaint·July 29, 2025

Based on observations, record review, interviews with residents and staff, the allegations mentioned in this report are Unsubstantiated. An Unsubstantiated finding means that 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 where this report was discussed and a copy was provided with appeal rights to Executive Director Pacia at the conclusion of the visit. Regarding allegation #3, residents are not being fed and changed in a timely manner, interviews with four (4) out of six (6) residents deny that they are not being fed or changed in a timely manner. Interviews with four (4) staff deny that residents are not being fed or changed in a timely manner Regarding the allegation #4, facility has an infestation of rodents, LPA conducted a tour of the facility’s common areas and bedrooms and did not observe an infestation of rodents. Interviews with six (6) residents and four (4) staff deny that the facility has an infestation of rodents. Review of facility records reveals the facility is inspected monthly by a professional exterminator for rodents and other pest. Regarding allegation #5, facility is in disrepair, LPA conducted a tour of the facility and observed the sliding doors in six (6) resident (non-ambulatory) bedrooms were working properly. Regarding allegation #6, facility doesn’t have hot water, LPA conducted a tour of the facility and observed the hot water in six (6) resident bedrooms measured at 105- and 106-degrees Fahrenheit. Six (6) residents interviews reveal that they have hot water for showers and/or bathing. Regarding allegation #7, resident wandered away from the facility due to lack of supervision, interviews with six (6) residents and four (4) staff deny knowing a resident with reported name that wandered away from the facility due to lack of supervision. The reporting party could not be reached for further information. Regarding allegation #8, facility has insufficient staffing to meet residents’ needs, LPA record review reveals the facility has sufficient staff to care for the needs of the residents. Four (4) out of six (6) residents deny that staff are not meeting their needs. Four (4) staff interviews deny not meeting residents’ needs. Regarding allegation #9, staff member failed to treat residents with dignity and respect, interviews with five (5) out of six (6) residents deny that staff failed to treat them with dignity at respect. Interviews with four (4) staff deny they fail to treat residents with dignity and respect