complaint·December 1, 2025

LIC 9099-C For the allegation of, Staff did not treat residents with dignity and respect, it was revealed that S1 was terminated from the facility due to insubordination and incompetence. Interview conducted with R1 revealed that S1 was “ok” but could be better. R1 emphasized that S1 did not know how to speak gentle to residents in care. Interview conducted with R2 revealed that S1 was a “moody” person and would yell at residents if S1 is feeling overwhelmed. R2 emphasized that S1 would call R2 a liar when R2 complains about not receiving PRN medications. Interview conducted with R3 revealed that S1 was a “terrible, mean lady”. R3 stated R3 has witnessed S1 making another resident pee in their briefs rather than taking the resident to the bathroom, even when the other resident was adamant they did not want to pee in the briefs. R3 stated S1 would talk down to residents in care in a sarcastic way. Based on information obtained, allegation is substantiated. Allegation of, Staff did not ensure that residents are fed in a timely manner, interview conducted with Administrator revealed that breakfast is typically served at 8:30 AM, lunch is at 12 PM and dinner is at 5 PM. Interviews conducted with residents in care revealed that when S1 was working at the facility, breakfast and lunch would be served late. Interview with R1 revealed that S1 would often serve breakfast whenever S1 wants to at approximately 10 AM. R1 does not recall S1 making breakfast on time. R1 stated lunch has often been served at 2 PM. Interview conducted with R2 revealed that S1 often likes to be on the phone and does not get breakfast ready until 9:30 AM, close to 10 AM. R2 does not recalled breakfast being ready on time at 8:30 AM. R2 stated S1 does serve dinner late periodically but often on time. Interview conducted with R3 revealed that S1 does not have a routine and often serves meals late. R3 stated there has been times when R3 goes to the dining table in the morning but there is no breakfast being made yet. Based on the information obtained, the allegations are SUBSTANTIATED - A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. The following allegation cited above is substantiated, please see LIC9099-D. Exit interview conducted and a copy of the report and appeal rights was provided.