complaint·September 4, 2025

The resident records show the caregivers checked on the resident at least every two hours. There was one incident where the resident had a lot of agitation during the late night and early morning hours of the following day. Facility notes show the resident was checked on, but did not show how many times the resident was actually checked because the notes that were written by the staff were summaries of the resident’s condition when it appeared they had time during their shift to do so. The written plan of care stated the resident required frequent checks but did not specify the amount of checks per shift were required. Due to the information gathered, LPA cannot determine Facility staff did not provide adequate supervision to resident in care. LPA finds allegation to be unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations occurred, and the findings are unsubstantiated