complaint·May 15, 2025

Continued from LIC9099 Staff is not ensuring residents' personal rights- reporting party alleges there is a resident that wanders and has wandered into this resident's room at 3AM and climbed into bed with them making them very scared, aggressive and upset. Interviews conducted with staff and Administrator revealed in November 2024 facility began to allow resident who could manage a key to lock their doors in memory care. R1 is able to use and keep their own key. There has not been any incidences since the keys have been implemented. LPA was unable to obtain evidence that a violation occurred. Based on interviews, record/document reviews, and related information obtained during the investigation the allegations Staff are not following resident's care plan and Staff is not ensuring residents' personal rights UNSUBSTANTIATED Although the 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 allegations are UNSUBSTANTIATED .