complaint·December 11, 2025

(Continued from LIC9099) It was further alleged, Lack of staffing to meet resident needs. More specifically, that the facility did not maintain adequate staffing levels, resulting in delays or deficiencies in resident care. Staff interview revealed that the facility maintains consistent staffing coverage across all shifts and staff are assigned to provide care and support to residents as scheduled. No concerns regarding staffing adequacy were expressed by facility personnel. Resident #1(R1) in terview revealed that the resident was oriented to person and situation, reported being able to manage their own personal care needs, and stated she did not require assistance with showers or toileting. R1 expressed no concerns about staff and described them as kind and helpful. Outside source #1 (OS1) interview revealed that the R1 often refuses assistance from staff, particularly with showers and incontinence care. An indepth r ecords review revealed that staffing schedules and time clock data for the relevant period were consistent with reported coverage and indicated that staff were present during all shifts. Outside Source two (OS2) as well well as other residents on the same floor as R1 do not express concerns regarding staffing LPA observations revealed No immediate concerns regarding staff responsiveness or resident care were observed during the site visit. Based on interviews, and records review and department observations there is not a preponderance of evidence to prove alleged violations occurred, therefore the allegations are unsubstantiated. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were provided to ED Neale whose signature below confirms receipt of these rights. [See LIC 811 Confidential Names List to identify Resident #1]