complaint·June 29, 2025

In regard to the allegation “Facility did not report that resident was missing”, It is alleged that R1 was missing for two weeks. During interviews with Administrator and staff six (6) out of six (6) stated that to their knowledge no resident had ever been missing for two weeks. Administrator stated that residents can leave at any time, but they check in with the office so that its notated. During interviews with residents thirteen (13) out of fourteen (14) stated to their knowledge no resident has ever went missing. During record review there were no notes or complaints from POA indicating that R1 was ever missing from facility. In regard to the allegation” Resident's needs are not being met”, it is alleged that R1 was found on bed in pile of clothes shivering and was in a shared room instead of private room. During interviews with Administrator and staff six (6) out of six (6) stated that no resident has ever been neglected. Administrator stated that R1’s health rapidly declined and was placed on hospice care until passing. It was also stated that R1 initially had a private room but due to cost POA had switched to a shared room. During interviews with residents twelve (12) out of fourteen (14) stated that staff meets their needs and thirteen (13) out of fourteen (14) felt safe with staff. Based on interviews conducted, and information that was gathered, there is insufficient evidence to support the allegation(s). Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. A copy of this report was given to the Administrator.