complaint·May 17, 2024

It was also alleged that staff did not provide residents with a safe environment from R1, R2 and R3. Interviews with staff revealed that such residents had not had behaviors that injured any of the other residents. Records reviewed did not reveal any information to corroborate that these residents had had threatening behaviors. Outside source interviews did not reveal any corroborating information. Additionally, it was alleged that staff did not prevent residents from smoking in non-smoking areas of facility. Interview with staff revealed that residents have been found smoking in the non-smoking areas of the facility. Staff revealed that residents are reminded of smoking areas, but they cannot be physically forced them to move. Interviews with residents revealed that residents are often reminded where smoking areas are. Also, it was alleged that facility had mold in the vents and walls were damaged. On May 8, 2024, LPA Strong conducted a facility inspection and did not observe any damaged walls or mold in the vents. Interview with Maintenance Director revealed that maintenance workers are continuously working on the facility. Interview with staff did not reveal any information to corroborate this allegation. Lastly, it was alleged that facility staff did not maintain a comfortable temperature for residents. On May 8, 2024, LPA Strong also reviewed the facility temperatures, noting that the indoor temperatures for the main lodge was 70 degrees Fahrenheit and each cottage ranged from 70-75 degrees Fahrenheit. Interview with Maintenance Director revealed that they can control the facilities temperatures via mobile device. Interviews with outside sources did not reveal any information to corroborate allegation. Based on LPA's interviews, and record reviews there is not a preponderance of evidence to prove alleged violation occurred, therefore the allegation is unsubstantiated. An exit interview was conducted with Executive Director Jared Green, to whom a copy of this report, and the Licensee/Appeal Rights (LIC 9058 03/22) were provided.