complaint·April 7, 2026

LPA observed R1’s bed to be in good repair. Although the bed was unplugged at the time of observation, it was demonstrated to be operable. Staff reported that R1 does not prefer to sit in their room or in the bed and primarily uses the bed for sleeping, preferring to lay flat when going to bed. LPA was able to communicate with R1 in their bedroom. R1 stated that they do not like to sit up in bed, explaining that when they get into bed it is to go to sleep. R1 shared that they do not watch television in their room and prefer to spend time outside of the room. R1 stated that they do not take any medications and reported feeling fine at the time of the visit. R1 was able to explain the pictures on the wall and correctly recall the names of the individuals in the photos. R1 stated that their spouse had passed away and that they like living in the facility. R1 also reported that their wheelchair works fine and that they do not sit in the recliner chair in their room. Regarding the wheelchair, staff stated that the wheelchair is primarily used when the POA takes R1 on outings. Interviews with staff and the POA confirmed that the wheelchair currently being used by R1 belongs to the facility. The POA confirmed that they are in the process of obtaining a wheelchair for R1 through appropriate channels. LPA did not observe any deficiencies indicating the wheelchair was in disrepair. Additional information obtained indicated that R1 is in overall good health, with the exception of occasional knee pain due to arthritis. R1 passed away in January 2026. Based on observations and interviews conducted, there is insufficient evidence to support the allegations. Therefore, the allegations are deemed unsubstantiated. An unsubstantiated finding means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted and a copy of this report along with the Licensee Rights (LIC 9058) was provided to the Caregiver. Her signature on this form confirms receipt of the documents.