Complaint·May 13, 2026

Interviews conducted with residents and staff revealed staff interactions as adequate and meeting the needs of residents in care. LPA did not observe any red marks or other types of bruising on residents in care during the observation. Documentation review indicated resident1 (R1) was admitted to facility with a diagnosis of Schizophrenia. Additional documentation review revealed no further evidence of physical or verbal abuse towards residents. An interview with R1 did not reveal conclusive evidence of staff physically or verbally abusing resident in care. As a result, there is not a preponderance of evidence to conclude staff have physically or verbally abused any residents in care, therefore, this allegation is UNSUBSTANTIATED. Allegation: Staff did not seek medical attention in a timely manner. LPA conducted interviews and record reviews as noted above. Based on these interviews and record reviews, it was revealed that on or about 3-25-2026, resident1 (R1) was experiencing chest congestion and weakness. As a result, staff on duty called 911 for assistance and R1 was admitted to a local hospital for further treatment and diagnosed with pneumonia and slow heart rate. Additional review of text messages between Administrator and responsible party indicate that on 3-25-2026, a communication was made by Administrator to responsible party to inform of R1's symptoms and need for 911 services performed. Additional interviews and record reviews further revealed R1's history of pneumonia and need for hospitalization, and staff response in an adequate and timely manner. Additional interviews revealed staff in general has met residents' needs in a timely and adequate manner with no corroborated evidence to the contrary. As a result, there is not a preponderance of evidence to conclude staff did not seek medical attention in a timely manner, therefore, this allegation is UNSUBSTANTIATED. A finding of unsubstantiated means the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted with Administrator and a copy of this report was provided. Appeal rights provided.