complaint·December 5, 2025

In regards to the allegation of staff does not ensure that the residents have a way to contact staff for assistance or in an emergency: LPA observed that there were pull cords mounted to the wall in the resident's rooms. Staff stated that some of the residents also have safety pendants and are checked on hourly. Based on observation and interview, this allegation is UNSUBSTANTIATED. In regards to the allegation of staff does not ensure that resident's room was at a comfortable temperature: LPA observed the hallway thermometer to read 70 degrees Fahrenheit. LPA observed two (2) operable fire places. Residents in care appeared to be content, comfortable and wearing appropriate clothing. Staff stated that they will assist residents with securing blankets or sweaters and will adjust the overall temperature when needed. Based upon observation and interview, this allegation is UNSUBSTANTIATED. In regards to the allegation of staff does not enure that resident's clothing was clean and free of stains: LPA observed an operational washer and dryer in the laundry room. LPA toured resident bedrooms and clean laundry was observed in closets. Staff stated that laundry is completed several times during each shift. Based upon observation and interview, this allegation is UNSUBSTANTIATED. In regards to the allegation of staff does not frequently wash resident's clothing: Staff stated that laundry is completed when a resident has an accident, after eating, after showering/grooming and other times as needed. Based upon interview, this allegation is UNSUBSTANTIATED. UNSUBSTANTIATED is defined as the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation(s) occurred. An exit interview was conducted where this report LIC9099 and LIC9099C was discussed and copies were provided to Executive Director, Deborah Staggs.