Complaint·March 4, 2025

Regarding allegation #2, LPA interviewed nine (9) residents. Eight (8) residents reported that the staff provides a comfortable environment, and they feel safe. One (1) resident mentioned discomfort due to constant arguments among residents. LPA interviewed five (5) staff members, who all stated that they provide a comfortable environment, treat residents like family, and constantly work on improvements. Regarding allegation #3, LPA interviewed nine (9) residents. Seven (7) residents reported that the staff ensures the facility is kept clean. Two (2) residents mentioned that the facility is sometimes dirty. LPA interviewed five (5) staff members, who all stated that they ensure the facility is kept clean, with housekeepers and caregivers assisting in cleaning. A deep cleaning has been added on weekends. Regarding allegation #4, LPA interviewed nine (9) residents. Two (2) residents reported that the facility did not have an activities director for a couple of months. One (1) resident was unsure of the duration. Six (6) residents reported that the facility was without an activities director for a short period. LPA interviewed five (5) staff members. Three (3) staff members stated that an activities director was hired within about a week and that staff always stepped in to cover daily activities. Two (2) staff members reported that the facility always had an activities director. Regarding allegation #6, LPA interviewed nine (9) residents, all of whom reported that staff members communicate properly with residents. LPA interviewed five (5) staff members, who all stated that they communicate effectively with residents, treat them like family, and that the Administrator maintains an open-door policy allowing residents to communicate freely. Regarding allegation #6, LPA interviewed nine (9) residents. Eight (8) residents reported that staff provides activities for residents. One (1) resident mentioned that activities were not provided. LPA interviewed five (5) staff members, who all stated that activities have always been provided. With the new activities director, changes have been implemented, and additional activities have been added. Based on LPA's observations, record reviews, and interviews, the above allegations are unsubstantiated. This means that 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. An exit interview was conducted where this report was discussed, and a copy was provided to Administrator Melanie Niez at the conclusion of the visit.