Complaint·November 25, 2025

Additionally, 7 out of 7 residents interviewed stated they have no concerns regarding their sleeping accommodation and not be provided with proper wheelchair. In an interview Resident 1 (R1) reported no current concerns, explaining that their responsible party (RP) brought R1’s wheelchair from home to the facility and that the facility is currently assisting R1 in obtaining a hospital bed through Home Health. Moreover, R1’s RP confirmed that R1 independently chose to discontinue hospice services and that they have no concerns regarding R1’s care, stating the facility is doing its best to meet R1’s needs. The investigation found that R1 was placed on hospice on 03/05/2025 and was provided durable medical equipment (DME), including a hospital bed and wheelchair. Records show that R1 was discharged from hospice on 05/09/2025 after expressing wanting to begin physical therapy for strengthening. As a result of the hospice discharge, R1’s DME was retrieved by the hospice provider and since R1’s insurance would not cover for a new hospital bed the facility attempted to obtain a hospital bed through R1’s RP since R1 has an extra hospital bed at RP’s home and the facility confirmed that it would be acceptable with a physician’s order. However, R1’s RP did not follow through, and the hospital bed was not delivered to R1. Moreover, Resident Care Coordinator Hakim spoke with R1’s PCP, who agreed to place R1 on Home Health, which will allow R1 to receive a hospital bed through their services. Based on the statement conducted and records reviewed during the investigation process LPA Lee was unable to corroborate the allegation; therefore, the allegation staff are mismanaging residents’ medications is determined to be unsubstantiated. It was alleged that staff did not accord with resident privacy. The investigation included interviews with both staff and residents. 5 out of 5 staff members interviewed reported that they had neither witnessed nor heard of any staff peeking through door cracks while residents were showering and denied the allegation. Similarly, all 7 out of 7 residents interviewed stated that they had not witnessed or heard of any staff peeking at residents during showers. Additionally, Resident 1 (R1) stated that they did not recall making any allegations or complaints regarding this matter. Based on the statements collected during the investigation, LPA Lee was unable to corroborate the allegation. Therefore, the allegation that staff do not accord with resident privacy is determined to be 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 violation(s)occurred. An exit interview was conducted with Executive Director Corpus and a copy of this report was provided to the facility.