Complaint·February 14, 2026

(Continued from LIC9099 p.1) Staff refuted that residents were unsupervised at night, as claimed, informing that night staff remain awake during their shift to respond to resident care needs. Outside source interviews corroborated staff statements regarding residents on hospice care at the facility. Outside source interviews did not corroborate the allegations, as outside sources had not observed staff treating residents without dignity or neglecting their care. Outside sources stated that staff communicated resident needs and provided great care. Review of relevant records did not give evidence to the allegations. No records were found to show that residents suffered unexplained injuries or falls. Records corroborated staff statements regarding specific residents being on hospice care, and having pre-existing skin issues. During an unannounced facility visit, the investigating LPA directly observed all residents in the facility for evidence of the allegations and conducted a health and safety check. The LPA did not observe any unexplained injuries during the visual check of residents. Due to impaired cognition, resident interviews were not able to be conducted due to inability to verify residents as valid historians. The evidence found does not support the allegations and shows that resident co-morbidities, behavioral and medical conditions contributed to the pressure injuries, bruises, and scratches. Evidence showed that some injuries/bruises existed prior to the resident moving into the facility. Due to lack of specifics regarding which allegations pertained to specific residents, correlation of abuse was not able to determined, if any. Resident records were consistent with staff statements regarding resident care. No evidence was found to show that staff did not provide the care required for each resident in their needs & services plans. Records also showed that all five residents were being followed by either Hospice or Home Health. Evidence was not found to show that staff did not communicate care needs for any resident. Staff and outside source interviews did not corroborate the claim that staff yelled at residents. Based on interviews, direct LPA observations and records review, a preponderance of evidence does not exist to prove that the alleged violations occurred, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted with Licensee Rina Chang, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.