Complaint·February 3, 2026

Interview with resident (R1) stated that facility staff do meet their incontinent care needs. Additional interviews with 2 out of 3 residents did not express any concerns about facility staff not meeting their grooming and care needs, as they do not require assistance from staff. LPA attempted interview with resident (R4) but was unable as they have limited verbal capacity. LPA reviewed facility care charting records for resident (R1), for the months of November 2025, December 2025, and January 2026 and observed daily incontinent care changing for resident (R1) however the record did not specify times. There is not enough evidence to corroborate this allegation, therefore the allegation is unsubstantiated. Allegation: Staff yell at resident It was alleged that staff yell at a resident in care. This investigation consisted of interviews with facility staff, and residents in care. On 01/07/2026 LPA Hughes conducted a visit to the facility. LPA spoke with 2 out of 3 facility staff who denied allegations of ever yelling at residents in care. LPA spoke with 2 out of 3 residents who stated they have no concerns about facility staff yelling at them or have ever observed staff yelling at other residents. Interview with resident (R1) reflected that staff do not yell at them. LPA attempted to interview 2 additional residents in care but was unable as both residents have limited English speaking capabilities. There is not enough information present to corroborate this allegation, therefore the allegation is unsubstantiated. Allegation: Staff do not safeguard resident's confidential information It was alleged that staff do not safeguard resident’s confidential information. This investigation consisted of interviews with facility staff and residents in care. On 01/07/2026 LPA Hughes conducted a visit to the facility. LPA spoke with 2 out of 3 facility staff who denied allegations of disclosing resident’s confidential information. LPA spoke with 2 out of 3 residents in care who stated that staff have never disclosed their confidential information or information of other residents to them. Interview with resident (R1) stated that they have overheard facility staff sharing their confidential information with others in the facility. LPA attempted to interview (2) additional residents in the facility but was unable as the residents English speaking capabilities were limited. There was not enough information or evidence present to corroborate this allegation; therefore, the allegation is unsubstantiated. 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 violations occurred.