Complaint·June 26, 2025

The chef is amazing and always makes sure R1 likes what he/she is eating. F2 believes that R2 is being well taken care of. F3 shared that a private caregiver found R3 on the floor shaking and the facility called the paramedics and sent R3 to the ER. No video footage was available to review what happened or if R3 hit his/her head. F3 also mentioned that R4 is doing well, S5 has been great and seems to be well liked by family members of the other residents. They also love the head chef and activities director. F7 shared that the last few times they visited, they only had one caregiver on the floor who couldn’t leave, and the resident (R7) had to go to the bathroom. LPA also interviewed five staff members. S1 mentioned that he/she is not overwhelmed with work, its just enough. S3 and S4 shared that staff help each other out. However, S2 mentioned that An extra person will help a lot and they won’t feel so rushed if there is 4 people, S5 shared that there is not enough help during their shift. According to the ROS, there have since been an additional 6 staff members who were added to the roster, 3 of which are care staff and the other 3 are Licensed Nurses. When staff calls out, the facility calls for agency for coverage. LPA attempted to interview five residents but due to neuro cognitive disorder, they are not able to give answers. Regarding the allegation of Staff are under the influence of alcohol and drugs while caring for residents, RP stated that The Med Technicians are using substances narcotics and drinking alcoholic beverages and going to work like that. During the interviews, four staff members (S1, S2, S3, S4) shared that they haven’t seen any staff come in who are under the influence of drugs or alcohol. S5 did not answer the question. page 2 of 3 Regarding the allegations that Staff are mismanaging residents' medications. RP stated that Medication is not being given in a timely manner and is not being justified on the proper dosage being given as negligence. Based on records review, LPA reviewed 5 resident records. All medications are accounted for and given on the scheduled time. Regarding the allegation of Administrator (ADM) is not present on facility premises for sufficient number of hours, RP stated that the administrator does not run this facility correctly and in fact is never present at the facility to oversee anything that goes on there. During the staff interviews, S1 & S4 mentioned that every time that they are on shift the ADM is in the facility. S2 also shared that ADM is in the facility when he/she is working. S3 said that ADM is here every day. Based on interviews and records review, the department has determined that 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 allegations are UNSUBSTANTIATED. Report is reviewed and copy is provided.