Complaint·July 28, 2025

A review of the facility records do not indicate that the facility did not assist the residents in a timely manner to prevent falls. Based on the information gathered, there is not sufficient evidence to prove that the facility staff did not assist the residents in a timely manner to prevent falls. Allegation: Door for resident bathroom is in disrepair It was alleged that the resident bathroom door was in disrepair. On July 28, 2025, LPAs conducted a tour of the facility’s memory care unit. During the inspection, it was observed that the bathroom door is a fire-rated door, which may be heavier than standard doors. However, LPAs observed multiple residents using the bathroom without any difficulty. Based on these observations, there is insufficient evidence to support the claim that the resident bathroom door is in disrepair. 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 and a copy of this report were provided to the facility at the end of this visit.