complaint·September 10, 2025

It was also alleged that R1 was not assisted with incontinence care during the night. Records collected revealed that as of January 11, 2022, R1 returned from a brief hospital stay with a noted higher level of care. Records show R1’s care plan was updated, and staff were reminded that R1 needed more assistance. Interview with residents revealed that they had no issues with the care being provided by staff. Interview with outside source could not corroborate R1 was not receiving incontinence assistance at night. Lastly it was alleged that R1 was not being provided with prescribed dietary shake. Records collected revealed R1 was prescribed dietary shake as of January 24, 2022, and records show R1 began receiving such shake daily as of January 25, 2022. Interview with staff present during this time revealed R1 was regularly receiving shakes and there was one incident of the prescription not arriving on time due to delivery error. Interview with outside source could not confirm R1 did not receive shakes. Based on interviews, and record reviews there is not a preponderance of evidence to prove alleged violations occurred, therefore the allegations are unsubstantiated. An exit interview was conducted with Clinical Director, to whom a copy of this report, and the Licensee/Appeal Rights (LIC 9058 03/22) emailed to.