Complaint·June 11, 2025

Based on the evidence gathered during the investigation, the above allegation is Substantiated. A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. An exit interview was conducted where this report (LIC 9099), LIC 9099D was discussed, and a copy was provided, along with a copy of the appeal rights to Executive Director Heidi Charette. Regarding allegation #2, LPA randomly audited four (4) residents medication along with their MAR and all medication is punched and documented correctly. LPA conducted 7 resident interviews, all whom confirmed staff have not mismanaged their medication. LPA conducted 7 staff interviews, all whom confirmed staff do not mismanage resident’s medication. 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 Executive Director Heidi Charette at the conclusion of the visit.