complaint·December 12, 2025

Allegation #1: Staff did not ensure that the resident was adequately fed. The complaint alleged that when bringing food to resident R1, R1 ate so quickly that R1 claimed not to have been eating. On December 11, 2025, the LPA interviewed the Administrator (A1), who denied the allegation and stated the facility offers three meals a day along with snacks between meals. On the same day, the LPA interviewed five staff members #1-5 (S1-S5), who also denied the allegation and affirmed that the facility provides all residents with adequate portions of food and offers an optional menu if they do not want what is served. They also provide snacks three times daily. Additionally, on December 11, 2025, the LPA interviewed six residents #1-6 (R1-R6), five of whom denied being inadequately fed by the facility. Three out of five residents mentioned that the facility gave them a second plate when asked. The same day, the LPA reviewed the facility’s menu, which showed a variety of foods and an optional menu. The LPA observed residents eating lunch and noted that the portions served were substantial. On December 11, 2025, the LPA attempted to interview R1; however, R1 was unable to answer the questions due to cognitive impairment. 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. Report continued on LIC9099C. Allegation #2: Staff do not treat the residents with dignity and respect. The complaint alleged that the facility staff are mean to R1, who felt scared. On December 11, 2025, the LPA interviewed the Administrator (A1), who denied the allegation and stated that R1 never mentioned that the staff is mean to R1. On the same day, the LPA interviewed five staff members #1-5 (S1-S5), who also denied the allegation and confirmed that no residents ever complained to them about other staff being mean to them. Additionally, on December 11, 2025, the LPA interviewed six residents, #1-6 (R1-R6), five of whom denied that staff were mean to them. On December 11, 2025, the LPA attempted to interview R1; however, R1 was unable to answer the questions due to cognitive impairment. 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 #3: Staff do not ensure residents’ needs are met. The complaint concerned resident 1 (R1)'s overall well-being and whether R1's needs are being met. On December 11, 2025, LPA Richard interviewed the Administrator (A1), who denied that the residents' well-being was being neglected. Report continued on LIC9099C. On the same day, LPA interviewed five staff members, #1-5 (S1-S5), all of whom denied the allegation and stated that the residents are well cared for daily. The caregiver checked on the residents every 2 hours. If a resident pressed the pendant for help, a staff member would go to assist them. Additionally, on December 11, 2025, LPA interviewed six residents, #1-6 (R1-R6). Five of the six denied the allegation, stating that staff helped them and that their needs are being met. LPA attempted to interview R1; however, R1 was unable to answer the questions due to cognitive impairment. On December 11, 2025, LPA observed staff interact with residents with care and respect. Residents were showing pictures on the wall and smiling. 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 cited. An Exit interview was conducted. A copy of this report was provided to the Administrator Maria Forkrud.