Complaint·February 18, 2026

Regarding the allegation, staff do not ensure a resident is being properly fed, according to the reporting party, staff do not get R2 up for breakfast. During the investigation, LPA interviewed R2 and interviewed staff. According to staff interviewed, there are a couple residents who wake up later than other residents or prefer to have meals in their rooms. If residents don't come down to the dining hall for their meals, caregivers will go check in on the resident and ask if they want their meal delivered to their rooms. According to the previous Cullinary Director, the kitchen has a meal attendance tracking form that helps kitchen staff keep track of residents who have received their meals and residents who have not received their meals. If residents do not come down to the dining hall for the meals, the kitchen staff will notify the caregivers and the caregivers will go check on the resident. Regarding the allegation, staff do not meet a resident's planned activity, according to the reporting party, there is no one at in the facility that will help her walk daily. During the investigation, LPA observed and reviewed the activities calendar for the month posted on the first floor hallway and interviewed staff. According to staff interviewed, activities are provided to residents everyday and residents have a say on what goes on the activity calendar, however the facility can't accommodate one resident and what they want because there are other residents in the facility. LPA observed the activities calendar to have "walking for fitness" at least 3-4x a week. According to the activities director, walks are either inside the facility or outside the facility, depending on the weather and if the residents want to walk outside or inside. The activities director indicated, there are 3-4 residents who like to walk outside everyday and tries her best to take them on walks. Regarding the allegation, staff did not afford the residents privacy, according to the reporting party, Resident 4 (R4) stated that staff talk to him/her about being sexually inappropriate. In addition, the reporting party indicated caregivers enter residents rooms without knocking and would linger when there are visitors visiting residents in their room. During the visit, LPA interviewed residents and staff. According to R4, he/she does not remember saying or having sexual conversations with staff. According to R4, at times he/she can have memory issues but would remember if staff were having inappropriate conversations with him/her. According to staff and residents interviewed, staff are required to knock and wait for residents response prior (continue to 9099C) to entering a residents room. According to the residents interviewed, staff always knock on their doors before entering. If there are visitors in the resident's room, staff ask if they are allowed to stay and do what is need or if they should come back when the visitors are gone. Based on documents reviewed, information collected, and interviews conducted, the department has determined that although the above allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegations are UNSUBSTANTIATED. Report is reviewed with Community Support Nurse and a copy is provided with appeal rights.