complaint·January 14, 2026

Interviews with residents did not reveal any concerns regarding the meals provided by the facility. Residents and staff stated that meals could also be delivered to resident rooms or picked up at the dining room, if residents wanted to eat in their apartments. Interviews with staff stated that if residents were observed to be feeling ill or seemed to be isolating in their apartments, staff would ensure that residents were eating and would order meals for delivery. Interviews with staff denied any concerns that any residents, including R1, were not eating meals. Review of R1’s assessment records dated 2023 and 2025 revealed that R1 was independent for most activities of daily living, including ensuring access to meals. Assessment records also stated that R1 occasionally required escorting to activities and meals if R1’s spouse was not present. Multiple residents denied any concerns regarding staff interactions and stated that staff were pleasant, wonderful, and responsive to care needs and pendant calls. Some resident interviews did allege that staff were rude or disrespectful, however those interviews did not provide specific details on how staff were rude or disrespectful when asked to clarify. Interviews with staff did not reveal any instances of staff responding to residents in a rude, disrespectful, or inappropriate manner, and staff stated that they would remove themselves from the situation to allow the resident to calm down. The Department did not obtain any evidence that the facility management were notified of any allegations of staff rudeness or disrespect. Interviews with residents and staff and review of R1’s medical assessment dated 2023 and 2025 revealed that R1 did not have any cognitive impairment, was independent for most care needs, including medication administration, and was receiving assistance for showers multiple days a week. R1’s spouse also provided occasional assistance to R1, including escorting and medication management. Interviews and assessments revealed that the facility was not responsible for managing R1’s medications. Staff interviews revealed that all residents were reassessed every 6 months to ensure that residents’ care needs had not changed, and R1 was reassessed in late 2025, and remained independent for medication management. Interviews with staff did not reveal any concerns that R1 was not receiving their medications as prescribed or was not receiving appropriate level of care from R1’s spouse or facility staff. The Department has investigated the above-mentioned allegations and based on interviews and records review, the preponderance of the evidence has not been met, therefore, these allegations are deemed unsubstantiated. An exit interview was conducted with Executive Director Donna Daniel-Herr, whose signature below confirms receipt of a copy of this report and the Licensee Appeal Rights (LIC9058 03/22).