complaint·February 20, 2026

Cottages II. Resident's R2- R7 were interviewed at this facility. Power of Attorney (POA) for Resident R1 was interviewed telephonically. A tour of the facility was conducted with LPA observing 4 residents at the dining room table and 2 Residents in the television room. File for Resident R1 was reviewed and the following forms were to be submitted: Admission Agreement, Physician's Reports dated 08/26/2025 and 09/13/2024, Identification and Emergency Information page, Assisted Living Waiver (ALW). Documents reviewed and to be submitted from Comfort Care Hospice included the following: Initial Plan of Care dated 09/16/2024 and Complex/Psycho Social Assessment dated 10/17/2024. In regards to the allegation Staff is isolating a resident in care, based on interviews conducted and information gathered Resident R1 stated that staff at Desert Cottage were wonderful and they went above and beyond. Wasn't able to walk or sit up and staff went out of their way to provide assistance. Stated this has been going on for 20 years. Also stated that there was always interaction with other residents and that staff always would interact and there was never an issue with isolation. Power of Attorney (POA) for Resident R1 stated that staff treated Resident R1 fine. Said that due to being bed bound residents all came to R1's room and would talk for hours. Stated that Resident R1 was never isolated and the facility never did anything out of malice. Resident's R2- R7 all were out of their rooms and 6 out of 6 said that no one tells them to stay in their room and they talk with each other every day in the dining room or television room. Staff S1 and S2 have been here for 5 and 7 years respectively and stated that Resident R1 always interacted with their roommate and other residents would go back and forth to talk with Resident R1. Said that there was never isolation for Resident R1 or any of the other residents. Physician's Reports dated 08/26/2025 and 09/13/2024 under Capacity for Self Care it is checked off that Resident R1 is not able to bathe self, dress self or care for own toileting needs. Listed under Overall Physical Health it is checked off that Resident R1 needs assistance with transferring. Also it is listed in the Assisted Living Waiver (ALW) it states that Resident R1 needs total assistance with ADL's. Comfort Care initial Plan of Care under Information Patient Status it is circled for Resident R1 being bed bound .Document titled Complex/Psycho Social Assessment states under Medical Decision Making that Resident R1 is bed bound. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted and a copy of this report was provided to Administrator.