complaint·March 11, 2026

(Continued from page 1) Additional allegation stated staff did not properly assess Resident prior to admission; facility may have accepted R1 without fully assessing whether they had staffing, training and resources to manage common behavior systems. LPA reviewed R1’s face sheet, LIC602 dated 1/30/26, progress notes with intermittent dates from February 10, 2026 to March 2, 2026, admission packet, preplacement appraisal dated 1/27/26, slum exam dated 1/27/26. Prior facility order summary report dated 1/29/26 and resident roster. LPA was unable to interview R1 due to R1 moving out of the facility on March 2, 2026. A review of progress notes revealed that R1 was non-compliance with prescribed medications, facility contacted R1’s doctor regarding the behavioral changes in which R1’s doctor requested labs to be done and several attempts were made by the doctor and doctor’s staff coming to the facility to attempt to complete the lab request in which R1 refused to take a urine test to rule out signs and symptoms of an UTI and through interviews with staff it was revealed that R1 refused to take a urine test, a review of R1’s file did not corroborate that R1 received an eviction notice at anytime of R1’s stay at the facility and through interviews with Administrator and Witness it was revealed that R1 was not issued and did not received an eviction notice, R1’s Power of Attorney’s were updated on R1’s change of condition-aggressive behavior towards staff and clients. Interviews with staff did not corroborate that no proper assessment was done on R1 prior to admission and a review of R1’s preplacement appraisal dated 1/27/2026 revealed that an appraisal was completed with an exam for cognitive abilities and a functional capability completed on 1/27/2026 with R1. Based on LPAs observations, records review, and staff interview, this agency has investigated the complaint alleging resident sustained a UTI due to staff neglect, staff wrongfully evicted residents and staff did not properly assess resident prior to admissions and we have found that the complaint was unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. An exit interview was conducted with Monique Moreira and a copy of this report along with LIC811 was provided. *LPA’s were away from the facility from 12:45-2:00 PM