complaint·November 19, 2025

Interview with administrator revealed there are 4 caregivers during the day, and afternoon shifts along with additional staffing. There are 2 caregivers and a medication technician during the night shift. Per administrator during 2021 they did have some staff issues, but they had kept the same number of staff as today to cover the shifts. There was a time when the facility had 13 residents, and they had less staff. Interviews with residents revealed there is always staff available to assist in each shift. Interviews with staff corroborated the administrator’s staff numbers per shift and stated there are no residents that require additional care. LPA reviewed incident reports and noted that between September -November 2025 two falls have been reported to the department and between October-December of 2021 there were 4 falls reported to the department. Although residents may have fallen there is not enough evidence to say there was not enough staffing during December of 2021 or currently to provide care and supervision. Therefore, the allegation is unsubstantiated. 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. Exit interview was conducted with Juanita Jackson and a copy of this report was provided.