Complaint·May 22, 2025

(Continued from LIC9099 p.1) Resident interviews did not corroborate the allegation. No resident expressed during interview that doors at the facility were in disrepair. Attempts were made to interview Resident 1 (R1) without success. Resident 2 (R2) was sleeping during LPA's facility visit and was unable to be interviewed. No records were found to refute or affirm the allegation. During unannounced facility visits LPA walked the 1st and 2nd assisted living floors. LPA observed all resident doors closed or open a very small amount. LPA did not observe any doors propped open or any door in disrepair. Regarding the allegation, "Resident(s) were not afforded privacy while care was being provided", it was alleged that staff did not close resident doors while providing incontinence care, resulting in privacy violations. Staff members unanimously stated during interviews that resident doors were closed while residents were being changed. No staff had knowledge of a resident's privacy being violated by having their door propped open while being changed. Resident interviews did not corroborate the allegation. Residents did not express concerns regarding privacy. No records were found to refute or affirm the allegation. During unannounced facility visits LPA walked the 1st and 2nd assisted living floors. LPA observed all resident doors closed or open a very small amount. LPA did not observe any doors to be open while a resident was being assisted with toileting or incontinence care. In common areas LPA observed staff assisting residents to the bathroom to be changed, and observed the restroom doors to be closed. Based on interviews, direct LPA observations and records review, a preponderance of evidence does not exist to prove that the alleged violations occurred, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted with Executive Director Rob Daynes, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.