complaint·March 27, 2026

As a result of this investigation, this Department found the allegations to be UNSUBSTANTIATED. A complaint allegation finding of Unsubstantiated meant that although the allegations may have happened or was valid, there was not a preponderance of the evidence to prove that the alleged violation occurred. Allegation: Staff did not provide personal care and assistance as needed by the resident which resulted in multiple falls and the care plan not being followed. It was alleged that the staff did not provide personal care and assistance as needed by the resident which resulted in multiple falls and the care plan not being following. During the course of this investigation, the department conducted interviews and reviewed facility records. Based on interviews conducted with 5 facility staff members, it was denied that they did not provide personal care and assistance as needed. It was denied that due to the facility staff not providing personal care the resident falling. A review of the resident’s pre appraisal and care plan was conducted. It was learned that this resident was identified to have a walker to assist in mobility however was not dependent on this. In addition, a review of any incident reports and daily notes were conducted and did not indicate that the facility did not assist the resident resulting in multiple falls. In addition, there was no significant change in the resident resulting for an new care plan. Based on the information gathered, there is not sufficient evidence to show that this facility did not provide personal and assistance. As a result of this investigation, this Department found the allegations to be UNSUBSTANTIATED. A complaint allegation finding of Unsubstantiated meant that although the allegations may have happened or was valid, there was not a preponderance of the evidence to prove that the alleged violation occurred. Allegation: Staff did not ensure reporting requirements were being followed It was alleged that staff did not ensure reporting requirements were being following. During the course of this investigation, the department conducted interviews and reviewed facility records. Based on interviews conducted, it was denied by 5 staff members that they do ensure that reporting requirements were followed. It was stated that training is conducted to ensure that reporting requirements are always followed. In addition, it was learned through an interview with the responsible party that the facility notifies them of any changes regarding the resident in care and reports no issues. Based on the information gathered, there is not sufficient evidence to prove that the staff did not ensure reporting requirements were being followed. As a result of this investigation, this Department found the allegations to be UNSUBSTANTIATED. A complaint allegation finding of Unsubstantiated meant that although the allegations may have happened or was valid, there was not a preponderance of the evidence to prove that the alleged violation occurred. Allegation: Staff did not provide services necessary to meet resident needs such as cleaning and maintenance of buildings It was alleged that staff did not provide services necessary to meet resident needs such as cleaning and maintenance of buildings. During the course of this investigation, the department conducted interviews and reviewed facility records. Based on interviews conducted, it was denied by 5 facility staff that they do not meet the residents needs such as cleaning and maintaining the buildings. 5 out 5 residents state that the facility staff clean daily and report no issues. In addition, a facility visit was conducted on 09/17/2025, 10/15/2025, and 01/29/2026 were conducted and the department did observe any odors, items in disarray or items that needed maintenance. Based on the information gathered, there is not sufficient evidence to prove that the staff did not provide services necessary to meet residents needs such as cleaning and maintenance of buildings. As a result of this investigation, this Department found the allegations to be UNSUBSTANTIATED. A complaint allegation finding of Unsubstantiated meant that although the allegations may have happened or was valid, there was not a preponderance of the evidence to prove that the alleged violation occurred. Allegation: Staff did not provide care as needed for activities of daily living. It was alleged that staff did not provide care as needed for activities of daily living. During the course of this investigation, the department conducted interviews and reviewed facility records. Based on interviews conducted, it was denied by 5 out 5 staff members that the staff did not provide care as needed for activities of daily living. It was stated that each resident has a special care plan to ensure that their needs are being met. In addition, an interview with 5 residents were conducted. 5 out 5 residents denied that staff did not provide care with activities of daily living. Based on the information there is not sufficient evidence to prove that staff did not provide care as needed for activities of daily living. As a result of this investigation, this Department found the allegations to be UNSUBSTANTIATED. A complaint allegation finding of Unsubstantiated meant that although the allegations may have happened or was valid, there was not a preponderance of the evidence to prove that the alleged violation occurred. Allegation: Staff did not ensure residents bathing care needs were being met It was alleged that facility staff did not ensure that the resident’s bathing care needs were properly met. During the course of this investigation, the department conducted interviews and reviewed facility records. Based on interviews conducted, it was denied by facility staff the they did not ensure that the resident’s bathing needs were not met. Facility staff report there have been no issues with ensuring that the resident’s needs are met. In addition, an interview with the resident’s family report that they have no issues with the care needs of the resident. Based on the information gathered, there is not sufficient evidence to prove that the staff did not ensure that the resident’s bathing care needs were properly met. As a result of this investigation, this Department found the allegation to be UNSUBSTANTIATED. A complaint allegation finding of Unsubstantiated meant that although the allegations may have happened or was valid, there was not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted and a copy of this report was provided to the facility at the end of this visit.