Complaint·October 17, 2025

Resident 3 (R3), who observed the situation, stated they were unsure whether staff assisted the situation, as they returned to their room before the interaction was complete. LPA Lee interviewed 6 of 6 residents, all of whom reported that facility staff are responsive and provide assistance when needed. 6 out of 6 residents also stated having seen staff assist R1 with standing and transfer in the past. Three staff members were also interviewed. All denied having witnessed any instances where staff did not assist residents with care. It was also learned during the investigation that R2 is protective of R1 and often attempts to assist R1 directly. Staff have previously redirected R2 to notify staff instead. Based on the interview statements conducted during the investigation process, LPA Lee was unable to corroborate the allegation. The investigation revealed the preponderance of evidence standards have not been met; therefore, the above allegations are found to be UNSUBSTANTIATED. A finding that the complaint allegations are UNSUBSTANTIATED means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation(s)occurred.