Complaint·September 9, 2025

Continued from 9099... Admin reported that there were times that R1 missed feedings. LPA asked Admin if she had a calendar which indicated on what days and times the family would be responsible for the feedings. Admin could not produce any calendar for LPA. Admin was not able to provide any documentation to show who was feeding the resident. Staff and Admin both denied that staff ever fed R1 food via the PEG and interviews with witnesses reported to LPA that staff never fed R1. However, LPA did receive accounting that staff did feed R1 via PEG approximately 3-4 times, but LPA unable to corroborate accounting. Complaint alleges that facility Administrator is not present at the facility a sufficient amount of time. During investigation LPA conducted interviews. It was reported to LPA that Admin has been present at facility between 75%-90% of the time when witnesses were present at the facility or when witnesses called. All witnesses report that Admin is available at all times of the day and week, via text and telephone. Admin advised LPA that she is present at the facility Monday through Friday from 7am to at least 3pm. So, 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.