complaint·July 17, 2025

schedule. Residents interviewed stated there are activities offered and some residents choose to participate in the activities. Staff interviewed stated that activities are offered daily, including outings, games and various clubs such as book club and crochet club. Activity ideas do come from the residents and the staff plan activities according to the residents' suggestions. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed UNSUBSTANTIATED at this time. The complaint also alleges that a resident (Resident #1 - R1) eloped from the facility about a month ago due to lack of supervision. LPA reviewed an incident report dated 05/24/2025, which was sent to Community Care Licensing on 05/27/2025. The report does indicate that R1 was found outside of the facility. Interview revealed that R1 was last seen on the patio of the memory care unit during a staffing change. The staff heard an auditory alarm, then oncoming staff discovered R1 was no longer on the patio. Staff found R1 outside the secure memory care unit shortly after. Review of R1's documents indicates that R1 is ambulatory and while staff interviewed did state R1 tends to wander within the secure memory care unit, this was the first time R1 had attempted to exit. Following the incident, management added additional alarms on the memory care exit gates that alert in the medication room, as well as on the staff phones. During today's visit, all delayed egress and auditory alarms were tested and were functional. Staff stated that R1 is now taken on walks to help engage in more suitable activities and since then, R1 has not again attempted to leave the secure memory care unit. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed UNSUBSTANTIATED at this time. The complaint alleges that the facility does not maintain a comfortable temperature for residents in care. LPA observed individual resident rooms have their own temperature controls. In the common areas, there are thermostats, which both management and medication technicians have keys to access. Interviews revealed that residents can request for the staff to adjust the temperature at any time. Residents interviewed had no complaints related to the temperature of the facility. LPA observed moderate temperature readings throughout the facility during today's visit. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed UNSUBSTANTIATED at this time. Exit interview conducted. A copy of today's report was provided via email.