complaint·April 3, 2026

the PTAC in R1’s room was functioning and had a temperature range that could be adjusted between 60-86 degrees F. LPA and LTCO attempted to interview R1, who did not express any concerns regarding the PTAC and indicated that it works. Interviews with the Executive Director (ED) and Maintenance Director (MD) indicated that the PTAC in R1’s room had been replaced as well as the filter. MD also indicated that the PTAC temperatures have a specific range to ensure safety of residents operating the units. Allegation: Staff do not provide appropriate care and supervision for a cognitively impaired resident Interviews with staff (S1 and S2) indicated that they provide care and supervision to residents in R1’s wing of the facility. S1 indicated that R1 opens and closes their window throughout the day. S1 and S2 indicated that staff are notified when a resident opens their window. S2 indicated that if a resident wants their window open and it is the appropriate temperature outside, staff will keep it open. S1 and S2 indicated they will adjust the PTAC, if needed, during resident checks or upon request to ensure residents' rooms remain at a comfortable temperature. S1 and S2 indicated that they believe the facility provides good care and supervision to the residents and that they have enough staff per resident to provide monitoring. S1 indicated that staff will provide checks on residents every two (2) hours. S1 and S2 indicated that most residents will be in the common areas throughout the day. ED indicated that the facility has enough staff on schedule to provide care and supervision for the residents. LPA has been receiving monthly schedules from the facility indicating the facility is fully staffed during all shifts. Based on observations made, interviews conducted, and documentation obtained, although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. Therefore, the allegations are UNSUBSTANTIATED. No deficiencies are being cited. Exit interview conducted. A copy of the report was provided.