complaint·August 13, 2025

On 06/11/2025 LPA contacted F1 by phone, F1 stated that they were not happy with the transition from the old Administrator to the new Administrator. F1 stated on one occasion (date not known) the interim administrator failed to return F1’s call. On 06/03/2025, LPA reviewed R1’s Physicians Report (LIC602) dated 04/03/2025, which indicated there is no cognitive impairment of R1. LPA reviewed facility most current assessment of R1 dated 01/16/2025, which shows 0 acuity in cognitive/orientation, communications, and psycho-social engagement. (0 acuity translate to no issue.) LPA requested any power of attorney, conservatorship or contract indicating requirement of facility to communicate with R1’s representatives. LPA observed R1’s admission agreement with F1’s digital signature. On 06/03/2025 LPA conducted interviews of 5 Residents (R1, R2, R3, R4, and R5) who all stated they have had no problems with communications with facility and had no issues with facility. At this time there is no evidence to support the allegation of, “Staff do no communicate effectively with authorized representatives.”, and is unsubstantiated at this time. As to the allegation of, “Staff do not properly reassess a resident in care.” It was alleged that R1 has not been able to get a service plan meeting in 3 years. It was discovered through documentation and interviews that, on 06/03/2025 LPA Jeffries reviewed R1 service plan dated 01/16/2025. On 06/11/2025, LPA interviewed F1, who stated that, “due to falls and recent weight loss of R1, they have been trying to get a service plan meeting, but due to the transition of Administrator it has taken longer than desired but has a service plan meeting scheduled for the end of June 2025.” On 06/03/2025 LPA conducted interviews of 5 Residents (R1, R2, R3, R4, and R5) who all stated they have had no problems with communications with facility and had no issues with facility. At this time there is not enough evidence to support the allegation of, “Staff do not properly reassess a resident while in care.” and I unsubstantiated at this time. CONTINUED on LIC9099-C As to the allegation of, “Staff do not ensure a resident is being properly fed.” It was alleged that, “R1 seems to have lost a significant amount of weight, and the food is terrible” It was discovered through interviews, observations and documentation that on 06/03/2025, LPA Jeffries reviewed R1’s monthly weight record that dates from July 2, 2023, through June 2, 2025. LPA also reviewed one report of weight variance Physician Notification for R1 dated 03/14/2025. LPA noted that the facility weight reporting policy as follows: 1. A weight gain or loss of 5 lbs. in 1 month and or a 05% variance. 2. A weight gain or loss of 7.5% in 3 months. And 3. A weight gain or loss of 10% in 6 months. This report compared to R1’s monthly weight report shows that the report of 03/14/2025 indicated the only time, within the standards pointed out in 1-3 were required for a physician’s notification, of which the facility sent to R1s physician and was signed and dated by R1s Physician on 04/01/2024. LPA noted that R1 has been losing weight but within the parameters of the standards 1-3. On 06/03/2025 and 06/18/2025, LPA Jeffries observed sample breakfast and sample lunch made by facility noted all food served look to be of quality and good portions. On 06/03/2025 LPA conducted interviews of 5 Residents (R1, R2, R3, R4, and R5) who all stated the facility has food of good quality, choice and proportions, all stated they have had no problems with communications with facility and had no issues with facility. At this time there in not enough evidence to support the allegation of, “Staff do not ensure resident is being properly fed.” and in unsubstantiated at this time. Exit interview, report read, and report provided.