complaint·October 27, 2025

(Continued form LIC9099) Regarding the allegation that staff did not seek medical attention for a resident in care. Mores specifically, that Resident #1(R1), who had a suprapubic catheter, experienced severe pain and made multiple requests for assistance, which were ignored by staff therefore R1 had to call emergency services to get help. Staff interview revealed that the resident was admitted on 09/19/2025, transferred to another building on 09/25/2025, and hospitalized on 09/28/2025. Staff confirmed R1 called emergency services due to suicidal ideation, not pain. Resident representative interview and care notes revealed that the responsible party was contacted by the facility on 10/02/2025. They also confirmed the resident called police due to suicidal thoughts and not due to pain. Records review revealed no documentation of complaints related to catheter pain. The Medication Administration Record (MAR) showed PRN Tylenol was administered on 09/20, 09/21, and 09/22 for general pain and discomfort. The resident was also receiving antibiotics for a UTI and Gabapentin three times daily for nerve pain. Care notes reflected no catheter-related complaints. Based on interviews, direct LPA observations and records review, a preponderance of evidence does not exist to prove that the alleged violation occurred, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted with Associate Executive Director,Lynn Torino. A copy of this report and Licensee's Rights (LIC 9058 03/22) were provided and their signature on this report confirms receipt of the Licensee Rights.