Complaint·May 21, 2026

(Cont. from LIC 9099) Regarding the allegation, the reporting party stated that R1 was left in a wheelchair for what was believed to be an extended amount of time, however, the reporting party also acknowledged being unable to determine exactly how long R1 remained in the wheelchair. Interviews with staff and outside sources provided inconsistent information, with some interviews recalling R1 using a wheelchair temporarily and others reporting primarily assisting R1 with walking. No interviews reported that R1 was left in a wheelchair for a prolonged or inappropriate amount of time. Interview with R1 reported having used a wheelchair only occasionally, and that they were always up and walking and did not stay in the wheelchair for long periods of time. During a facility visit, LPA observed R1 clean, well-groomed, and ambulating with standby assistance from a private caregiver. Records reviewed showed that R1 experienced changes in mobility status over time. R1's initial appraisal dated 11/17/2025 documented slow gait, and the ability to sit in a wheelchair without support, while also noting R1 walked well alone with some balance support. R1's medical assessment dated 08/24/2025 listed R1 as ambulatory. A reappraisal dated 03/18/2026 showed a documented change of condition, indicating R1 had become non-ambulatory, used a wheelchair, and required full assistance with mobility due to weakness. Based on interviews, records review, and LPA observation, the preponderance of evidence standard has not been met, therefore the above allegation is found to be unsubstantiated. An exit interview was conducted with Administrator Susan Caccam and a copy of this report, along with Licensee/Appeal Rights (LIC 9058 01/16), were provided. Their signature confirms receipts of these documents.