complaint·March 26, 2026

Allegation #1: Staff did not prevent a resident from hitting another resident while in care. The complaint alleged that on March 18, 2023, a disclosure stated that a resident had struck Resident 1 (R1). On March 26, 2026, LPA Richard interviewed the administrator (A1), who denied the allegation and explained that R1 is very active. R1 is somewhat hard of hearing and tends to raise their voice when talking to staff and other residents. A1 also mentioned that R1 has a one-on-one staff member with them at all times. During the same interviews, LPA spoke with a staff member (S1), who also denied the allegation and confirmed that no residents would ever hit R1. S1 noted that R1's hearing issues require speaking loudly to communicate effectively. Additionally, LPA interviewed three other residents (R2, R3, and R4), who denied ever being struck by staff or other residents. On March 26, 2026, LPA interviewed a family member (FM) of resident R4. The FM shared that the facility's staff are excellent at caring for residents, noting they visit every week. The FM has never witnessed any residents behaving aggressively or hitting each other, and described the facility as always quiet and pleasant. During the review of facility records on March 26, 2026, Unusual Incident Reports were submitted to the Community Care Licensing Department (CCLD) regarding the incident that occurred on March 18, 2023. On March 24, 2026, the LPA contacted the responsible party (RP), who also denied the allegation. The RP stated that they live one mile from the facility and visit R1 frequently, emphasizing that the facility staff do their best to care for R1. Unfortunately, the LPA was unable to interview R1, as R1 passed away at Eisenhower Hospital on December 8, 2023. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation (s) did or did not occur, therefore the allegation is unsubstantiated. Allegation #2: Staff is not providing adequate care and supervision. The complaint alleged that the staff was not providing proper care to the residents. On March 26, 2026, LPA Richard interviewed the Administrator (A1), who denied that the facility provided adequate supervision for the residents. The facility always has three staff members on duty. If the residents are outside, at least one staff member is always nearby. Resident 1 (R1) had a one-on-one interaction with a staff member while outside R1's room. During the same visit, LPA Richard interviewed one staff member (S1), who also denied the allegation and stated that residents sometimes go shopping, to the movies, attend local concerts, and go for walks. Additionally, LPA Richard spoke with three residents (R2-R4), all of whom denied ever being left alone at the facility and stated that the staff was excellent in caring for them. On March 26, 2026, LPA interviewed a family member (FM) for R4, who denied that the facility lacks sufficient supervision. FM also mentioned that a staff member is always with the residents. LPA Richard also contacted the responsible party (RP), who denied the allegations and stated that sufficient staff were present during the visit with R1. On March 26, 2026, LPA reviewed the facility staff members' schedules and found that three staff members are present for each shift, including the administrator. Unfortunately, LPA Richard was unable to interview R1, as R1 passed away at Eisenhower Hospital on December 8, 2023. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation (s) did or did not occur, therefore the allegation is unsubstantiated. No deficiencies were cited. An exit interview was conducted. A copy of the report was provided to Administrator Svetlana Calamaro.