complaint·May 30, 2023

comfortable for everyone in the facility. R1 stated that they do make such statements, but stated that others make comments towards them as well. R1 stated that they understood and that things will be better moving forward. However, staff report that R1 always says that and when they are upset again, they do the same thing. Additionally, Administrator Maryann informed LPA that R1 had to be taken off of their pain medication as they tested positive for methamphetamine at the beginning of May. The facility has contacted law enforcement because of threats that R1 has made. Staff was informed that nothing could be done until R1 acted on the threats that they have made. Based on interviews and record review the allegatio n of facility is not providing a safe environment for residents in care is SUBSTANTIATED. A substantiated finding means that the preponderance of evidence standard has been met; therefore, the above allegation is found to be Substantiated. An exit interview was conducted and a copy of this report, 9099D, and appeal rights were provided to Maryann Kanekoa, Administrator .