complaint·December 31, 2025

(Continued from LIC 9099) The Department Investigation revealed that a local hospital began calling the facility at 9:46 PM regarding a resident’s return. Facility records show the on-duty LVN (Licence Vocational Nurse) returned calls at 10:57 PM and 11:02 PM to confirm that the resident could return to the facility and that staff would be present for the residents return to the facility. The resident arrived at the facility at 1:10 AM. Staff interviews confirmed that after 8:00 PM, calls are routed to the on-duty LVN, who carries a work cell phone and monitors voicemail-to-email messages. LPA observations confirmed the voicemail-to-email system is in place and accessible to the on-duty LVN. Records review did not show evidence that the facility failed to respond to the hospital’s request for communication. 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 Executive Director Chris Neale. A copy of this report and Licensee Rights (LIC9058 03/22) were provided, and their signature on this report confirms receipt of the Licensee Rights.