Complaint·February 28, 2025

continue from LIC9099 The complaint specifically alleged that staff repeatedly threatened R1, stating that if they continued to complain about the cold temperature in their room, they would be transferred to a skilled nursing facility and their apartment would be sold. However, interviews with outside sources did not provide details regarding when or how these threats occurred. Additionally, outside sources stated that they were unaware of R1 being verbally or informally served with an eviction notice. During an interview conducted on February 10, 2025, R1 did not express any concerns regarding eviction. R1 stated that on January 18, 2025, they experienced an unwitnessed fall in their apartment, which resulted in a traumatic left subdural hematoma. On January 25, 2025, R1 was transferred to a skilled nursing facility for continued treatment and recovery. On February 7, 2025, R1 was discharged back to their independent living apartment under 24/7 care and supervision due to a change in condition. On February 12, 2025, a care plan meeting was held with R1 to discuss their current needs. It was determined that R1 required assistance with all activities of daily living and was considered a high fall risk due to their recent fall, poor balance, general weakness, and low blood pressure. During this meeting, R1 agreed with the care plan and acknowledged the need for assistance to continue residing in their independent living apartment. R1 also stated that the care plan included physical, occupational, and speech therapies to help regain independence. Multiple interviews with key staff and outside sources consistently denied the allegation, stating they had never witnessed or heard of any staff member threatening R1 with eviction. On the contrary, interviewees indicated that the staff’s primary focus was to develop and implement a comprehensive service care plan to ensure R1’s health and safety while remaining in their independent living apartment were met. Based on the results of the investigation, which consisted of observations, interviews with key staff and outside sources, and a review of pertinent resident records there was insufficient evidence to support the allegation that staff threatened R1 with eviction. (Continue at LIC9099C) (continue from LIC9099C) Therefore, this allegation is unsubstantiated. A finding that is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence that the alleged violation occurred. An exit interview was conducted with Executive Director Stephanie Boudreau, who was provided with a copy of this report, the Confidential Names List (LIC 811), and the Licensee Appeal Rights (9058 03/22) at the conclusion of the visit.