Complaint·November 19, 2025

It was also alleged that staff restricted R1’s access to personal belongings, specifically a television and phone. An interview conducted with the ED disclosed that R1’s family member picked up all of R1’s belongings. A resident record review showed no items listed on R1’s inventory list of personal belongings. Additionally, It was alleged that staff failed to transport R1 to medical appointments and began charging for transportation services. Per the facility admission agreement, the facility’s policy states transportation is provided at no cost within a 10-mile radius, with a $25 fee beyond that. Staff 1 (S1) stated in the past, new residents were not charged the $25 fee for transport over 10-miles to allow them time to adjust and understand the facility’s transportation policy, and schedule visits accordingly. Records showed that transportation was offered and provided to R1 in accordance with policy. It was also alleged staff speak inappropriately to residents in care. Interviews with staff and residents did not corroborate this allegation. All parties reported that staff did not speak inappropriately to R1. However, multiple sources (staff and residents) stated that R1 frequently used inappropriate language toward staff and residents, including political rants, blocked access to elevators and doorways, and made derogatory remarks. It was also alleged that two residents engaged in explicit behavior on the facility transport bus. However, the residents involved were not identified, and staff interviewed had no knowledge of the incident. Lastly, it was alleged the facility is not clean and sanitary . Specifically, It was alleged the ED brings their dog to the facility and the dog urinated and defecated around the facility, including the communal dining area. Interviews conducted with staff and residents, and a facility tour yielded no corroborating evidence. At the time of facility tour it was observed to be clean and sanitary. Additionally, during the tour cleaning staff were observed throughout the facility. During several unrelated visits, for long periods of time, LPA has met the ED’s dog and never observed the dog having an accident and has never received any complaints or negative feedback regarding the dog. There are several residents at the facility that have dog,, for residents that are unable to walk their dog the facility has/had dedicated staff to take them on walks to use the bathroom and is included int their care plan. In addition, facility policy states pets are not allowed in the communal dining area. Based on record reviews and interviews with facility staff and outside sources the above-mentioned allegations were determined to be Unsubstantiated. An Unsubstantiated finding means the preponderance of evidence to prove the violation/s occurred was not met. An exit interview was conducted with CBD Tortarico, to whom a copy of this report, and Licensee Rights (LIC 9058), will be provided. The signature below confirms receipt of the reports