complaint·March 12, 2026

Interviews and review of facility records revealed three (3) residents who are capable of storing and administering their own medications. During LPA’s visit on March 12, 2026, LPA inspected a sample of resident bedrooms, including those who store and administer their own medications. LPA did not observe accessible medications, LPA observed residents’ who stored their own medications to have their medications locked in their closets and inaccessible to other residents. Interviews with residents, staff and LPA’s observations did not reveal that residents’ bedrooms were not cleaned. Interviews with residents and staff did not reveal that staff yell at residents. Based on LPA observations, interviews, and record review, the investigation did not yield a preponderance of evidence to conclude that staff did not ensure medications were inaccessible to residents, staff yelled at residents, and staff did not ensure the facility was kept clean. Based on the foregoing, the allegations are unsubstantiated. These findings mean that although the allegations may have happened or may be valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted with Assistant Administrator Mary Gonzalez, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.