Complaint·March 10, 2026

According to the complaint, Resident #1 (R1) was paying for a higher level of care due to an injury requiring transfer assistance from staff. It was alleged that despite the increased level of care, staff response times did not improve. The complaint further alleged that staff frequently failed to respond in a timely manner, resulting in R1 attempting to transfer independently, sliding to the floor, and on one occasion remaining on the ground for approximately two (2) hours before receiving assistance. Overall, the complaint alleges that the facility is short staffed. To assess staffing sufficiency, LPA reviewed staff schedules and interviewed staff and residents. Staff schedules for the relevant time frames reflected staffing levels consistent with facility requirements for both day and evening shifts. Caregivers, medication technicians, and management staff were present and available to assist residents as needed. Staff reported that response times may vary depending on workload and resident needs at any given time; however, staff denied that R1 had been left on the floor for hours. Staff indicated they communicate frequently via walkie-talkies and are aware of residents requiring two person assistance, including R1. Residents interviewed reported that while there are occasional delays in assistance due to staff attending to other residents, staff ultimately respond and provide necessary support. Residents denied experiencing or witnessing wait times of several hours for assistance. Based on interviews conducted and records reviewed, the allegation may have occurred; however, there is insufficient evidence to determine that the facility had inadequate staffing or that R1 was left unattended for an extended period of time. Therefore, the allegation is deemed Unsubstantiated at this time. Exit interview conducted and copy of report provided to Administrator.