complaint·November 13, 2025

LPA Tarin interviewed staff S1 & (Former) Resident Services Director Gladys Desmarais, referred to as S2. S1 stated he/she isn’t aware of any incident of alleged physical abuse from any resident by staff. Staff S2 stated S2 states not aware of any incidents of physical abuse. S2 stated R1 was confused and having hallucinations and believed he/she was drugged and told S2 that he/she believed someone gave him/her date rape drug and someone molested him/her. S2 stated R1 said it was 2 male staff members, and R1 didn’t know their names. S2 stated paramedics came to assess him/her and paramedics called the R1’s responsible party, referred to as FM to inform. S2 stated the paramedic told him/her that FM stated R1 has been making this allegation about being molested for years. On October 30, 2025, LPA Manuel Monter interviewed staff S3-S6. 4 Out of 4 staff are not aware or didn’t observe any physical altercations between staff and or residents on the assisted side of the facility in the past 6 months. LPA Manuel Monter interviewed current Resident Services Director (RSD) Jmy Ramos. RSD stated R1 was not physically assaulted. RSD stated there was no observed bruising, bleeding or marks on R1. RSD stated there were no incidents of residents physically assaulting R1. On November 3, 2025, LPA interviewed Witness W1. W1 stated he/she became aware of the allegations based on his/her conversation with R1’s responsible party, referred to as FM. W1 stated FM stated, that R1 has been stating he/she has been molested for multiple years. W1 stated he/she also spoke to R1, who told W1, that after he/she was given his/her UTI medication, R1 expressed to W1 that he/she was just hallucinating and the assault didn’t occur. On November 10, 2025, LPA Monter interviewed residents R13-R17. 5 Out of 5 residents (R13-R17) stated there are not aware of or have not heard about any physical altercation occurring between residents in the facility. 5 Out of 5 residents (R13-R17) stated they are not aware of or have not heard about any physical altercation occurring between staff and residents in the facility. Page 2 Out of 5 LPA Monter interviewed staff S7-S10. 4 Out of 4 Staff (S7-S10) stated there are not aware of or have not heard about any physical altercation occurring between residents in the facility. 4 Out of 4 Staff (S7-S10) stated they are not aware of or have not heard about any physical altercation occurring between staff and residents in the facility. he Department reviewed R1's Service Plan, dated July 23, 2025. Under behavioral expressions, the plan states "resident has a history of hallucinations as a medication reaction." The Department has completed the investigation of the above allegations. Based on interviews conducted and records review, the department has found that the above allegations were UNFOUNDED, meaning that the allegations were false, could not have happened and/or are without a reasonable basis. Facility did not provide proper care and supervision to resident in care. On August 21, 2025 the Department received a complaint alleging Facility did not provide proper care and supervision to resident in care. It has been alleged that resident R1 was not being given their medication, not being bathed and are not being assisted with escorting. On August 25, 2025, LPA Tarin conducted the initial complaint investigation visit. LPA interviewed residents R2-R12. 8 Out of 11 residents (R2, R4-R6,R8,R9,R11) stated they receive their medications on time and have not had any issues with medications. 4 Out of 11 residents (R3, R7, R10, R12) interviewed stated they don’t need staff assistance with medication administration. 11 Out of 11 residents (R2-R12) stated they don’t have any issues with the care they are receiving at the facility. LPA Tarin (Former) Resident Services Director Gladys Desmarais, referred to as S2. S2 stated to her knowledge, he/she is not aware of any issues with R1 not receiving his/her medications on time. On October 30, 2025, LPA Manuel Monter interviewed Staff S1, S3-S6. 5 Out of 5 staff (S1, S3-S6) stated isn’t aware of any issues regarding medication errors. 5 Out of 5 staff (S1, S3-S6) stated there hasn’t been a time when a resident who needed to be escorted, wasn’t escorted. 5 Out of 5 staff (S1, S3-S6) stated there hasn’t been a time when a resident who needed assistance with showers, wasn’t assisted. Page 3 Out of 5 On, October 30, 2025, LPA Manuel Monter randomly audited 4 resident’s medications. LPA audited the medications by cross referencing the medication bottles/ containers and cross referencing with the Centrally Stored Medication Record and Medication Administration Record. No discrepancies were noted during review. On November 10, 2025, LPA Monter interviewed residents R13-R17. 5 Out of 5 residents (R13-R17) stated they have not had any issues with their medication administration. 3 Out of 5 residents (R13, R14, R16) stated they do not need assistance with showers. 4 Out of 5 residents (R13-R16) stated they do not need assistance with escorting. 2 Out of 5 residents (R15, R17) stated they need assistance with showers and there hasn’t been a time when they were neglected their shower. Resident R17 stated he/she does need assistance with escorting and stated there hasn’t been a time when he/she was neglected his escorting needs. LPA Monter interviewed staff S7 – S10. 4 Out of 4 staff (S7-S10) stated they have not heard about or observed a resident who was neglected their shower. 4 Out of 4 staff (S7-S10) stated they have not heard about or observed a resident who was not escorted and neglected. 4 Out of 4 staff (S7-S10) stated they have not heard about or observed any instance of a resident not getting their medication. On November 13, 2025, LPA Monter interviewed Resident Services Director (RSD) Jmy Ramos. RSD stated on care track, they have the days the residents are scheduled to have a shower. RSD stated once it has been completed, it will be updated on care track. RSD stated there hasn't been an instance where a resident was neglected, and not given their shower. RSD stated there hasn't been any instance of R1 being neglected and not escorted. RSD stated in terms of medications for R1, there hasn't been any instance of R1 not receiving their medication and/or the facility not administering R1 medication per physician's order. The Department reviewed R1's Service Plan, dated July 23, 2025. Under Mobility, the service plan states R1 does need escorting to meals as needed / As requested. The Department reviewed R1's Medication Administration Record for the month of July and August 2025. Based on a review, there was no discrepancies noted. Page 4 Out of 5 The Department reviewed R1's Care Summary for July October 2025. Based on a review, the summary notes detail all the instances of R1 receiving assistance with his/her bathing needs. LPA did not note any discrepancies. The Department has completed the investigation of the above allegations. Based on interviews conducted and records review, the department has found that the above allegations were UNFOUNDED, meaning that the allegations were false, could not have happened and/or are without a reasonable basis. Page 5 Out of 5. END OF REPORT.