Complaint·September 18, 2025

On 09/18/2025, Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to this facility to conduct a complaint visit. LPA met with Facility Designated Administrator (FDA), Kathryn Nevin and explained the purpose of the visit. The purpose of this visit was to inform the facility and it's representative that a complaint has been filed against it at this time. Current census was 55. A brief interview with FDA Nevin was conducted. It was alleged that facility staff are inappropriately locking facility doors. Based on interviews conducted, it was denied that the facility staff are inappropriately locking facility doors. It was stated that the facility doors are closed after 8:00pm, however, the facility residents have access to go through the doors. In addition, LPA Pascua reviewed facility video recordings and did not find that the facility staff was locking the facility doors. LPA Pascua observed the doors to be easily accessible to the residents in care. Based on the information gathered, there is not sufficient evidence to show that the facility staff inappropriately lock facility doors. As a result of this investigation, this Department found the allegations to be UNSUBSTANTIATED. A complaint allegation finding of Unsubstantiated meant that although the allegations may have happened or was valid, there was not a preponderance of the evidence to prove that the alleged violation occurred. There were no deficiencies observed or cited at this time. An exit interview was conducted, a copy of the 9099 was provided to the facility at the end of this visit.