complaint·March 3, 2026

(Continued from LIC9099) Regarding the allegation : Staff does not ensure residents’ showering needs are being met, specifically, residents  goes without showers because they don’t have enough people to help. Department interviews with staff reported that residents are scheduled for showers twice weekly or more frequently based on individual needs. Some residents choose to take fewer showers, while others require multiple showers due to incontinence episodes. LPA observed shower schedules were posted and interviews confirm the schedule is being followed. Throughout several unannounced visits, the Department observed residents to be clean, well groomed, and without signs of neglect. Department interviews with outside sources reveal observations of residents well groomed and clean. Regarding the allegations: Staff do not ensure residents are provided daily activities specifically, no activities were observed. Department staff interviews, management statements, and outside source observations indicate a full daily activity program is offered, with engagement documented throughout the day. During onsite observations, residents were seen participating in balloon tennis, puzzles, group activities, TV programs, and supervised leisure time. Evening hours were described as “calming periods,” which the Department confirmed through observation. Department interviews with outside sources reveal seeing regular activities during their visits. Based upon the information obtained during the investigation it is determined that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the violations occurred and is therefore UNSUBSTANTIATED. An exit interview was conducted with ED Angela Scott- Kapiloff and copy of this report and the Licensee/Appeal Rights (LIC9058 01/16) were provided.