Complaint·April 1, 2025

LPA interviewed ADM to address the allegation of significant weight of weight loss of resident. ADM stated that the residents weight fluctuates, and it is documented on the weight record log and any significant weight loss is immediately reported to their Physician. ADM stated that some residents have dietary restrictions that are documented in the residents file in the Physicians Report. LPAs reviewed monthly weight log of residents and there was no significant weight loss. LPAs interviewed Staff S1-S2 both stated visitors are allowed in the facility and can visit in the front room where there is a loveseat or the common area or patio in backyard and in the resident’s bedrooms. S1 and S2 stated that during the pandemic Covid-19 the facility had restrictions before entering the facility such as Covid-19 rapid tests and body temperature check. During LPAs visit LPAs observed a resident’s visitors in resident bedrooms. During visit LPA observed three phone receivers accessible to residents in care located in the kitchen common area and the front office/sitting area. ADM stated the facility is equipped with audio enhancing devices for the residents who are hearing impaired. ADM showed LPAs the device. During investigation LPA reviewed centrally stored medication record and reviewed medication with staff and based on record review the medication count was accurate and medication was administered as prescribed by physicians. Based on observations, interviews and document review the above allegations are UNSUBSTANTIATED . Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegations are unsubstantiated at this time. No citations noted at today’s compliant investigation visit. Exit interview conducted with Lead Staff. This report was provided to review and for signature. A copy of this report was provided to Fonokalafi Jano, Lead Staff. Page 2 of 2. END OF REPORT.