The department interviewed residents (R1-R6) about the allegation and 5 of 6 residents that were interviewed stated that the staff does assist them with their medication when needed. Residents also stated that the staff does monitor their glucose levels throughout the day.

The department reviewed the Physician Report LIC 602A (Dated: 10/12/24 & 02/13/25), Appraisal and Needs Service Plan (Dated: 07/29/25,10/12/21, 02/15/25), and Medication Administration Record (Dated: 11/01/25-11/30/25) for the residents and did not observe any discrepancies.

Based on interviews and records reviewed, there is insufficient evidence to support the allegation that Staff do not meet a resident's diabetic needs. 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 Unsubstantiated.

Allegation #2- Staff mishandled a resident's medication.

The details of the complaint alleged that the resident is supposed to receive insulin three times a day along with their eight other medications yet, at Hayworth, they have been lax at checking the resident’s blood sugar levels or providing the resident with their insulin and other medications. On 11/10/2025, from 9:30am-2:00pm, the department interviewed staff (S1-S3) and residents (R1-R6) regarding the allegation. 3 of 3 staff denied the allegation that Staff mishandled a resident's medication. All staff stated that the residents’ medication is never mishandled and those who need their diabetic medication are given it. They also stated that their blood sugar levels are monitored and checked before and after each meal.

The department interviewed residents (R1-R6) about the allegation and 5 of 6 residents that were interviewed stated that their medication has never been mishandled by the staff.

The department reviewed the Appraisal and Needs Service Plan (Dated: 07/29/25,10/12/21, 02/15/25), and Medication Administration Record (Dated: 11/01/25-11/30/25) and did not observe any discrepancies.

Based on interviews and records reviewed, there is insufficient evidence to support the allegation that Staff mishandled a resident's medication. 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 Unsubstantiated.

Report Continued on LIC9099-C

The details of the complaint alleged that the majority of the staff at the facility mostly speak Korean, and the resident speaks only English making it hard to communicate effectively. On 11/10/2025, from 9:30am-2:00pm, the department interviewed staff (S1-S3) and residents (R1-R6) regarding the allegation. 3 of 3 staff denied the allegation that Staff do not communicate effectively. All staff stated that the facility has three main languages that are Korean, English, and Spanish. They stated that they work as a team to translate for those who need it, so that they can serve their entire community of residents.

The department interviewed residents (R1-R6) about the allegation and 5 of 6 residents that were interviewed stated that they don’t have a problem communicating with the staff and are provided with translators if they need it.

Based on interviews, there is insufficient evidence to support the allegation that Staff do not communicate effectively. 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 Unsubstantiated.

Allegation #4- Staff are isolating a resident.

The details of the complaint alleged that most of the staff at the facility speak Korean and the television stations are all set to Korean stations, making the resident feel isolated and have no way of interacting with other residents. On 11/10/2025, from 9:30am-2:00pm, the department interviewed staff (S1-S3) and residents (R1-R6) regarding the allegation. 3 of 3 staff denied the allegation that Staff are isolating a resident. All staff stated that the main televisions in the recreational are set to English and Korean. The staff also stated that residents have an individual television in their room so that they can watch whatever program they would like.

The department interviewed residents (R1-R6) about the allegation and 5 of 6 residents that were interviewed stated that the televisions are set to different languages and that they have a television in their own room. Residents that were interviewed also stated that they do not feel isolated and do interact with the other residents in the facility.

The department took a tour of the facility and observed that the residents do have their own televisions in their room.

Based on observation and interviews, there is insufficient evidence to support the allegation that Staff are isolating a resident. 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 Unsubstantiated.

Report Continued on LIC9099-C

The details of the complaint alleged that the facility is only giving the resident Korean meals which they do not like. Thus, making it difficult for them to eat and keep their blood sugar levels within range to avoid complications of the disease. On 11/10/2025, from 9:30am-2:00pm, the department interviewed staff (S1-S3) and residents (R1-R6) regarding the allegation. 3 of 3 staff denied the allegation that Staff do not provide adequate food service to a resident. All staff stated that they do provide adequate food service for the residents. They stated that they serve a Korean, American, and Kosher foods for their residents. They also stated that sometimes they order other foods for the residents if they want something different.

The department interviewed residents (R1-R6) about the allegation and 5 of 6 residents that were interviewed stated that the facility does serve Korean food, along with American. They also stated that they serve a kosher meal for a resident as well. Most residents also stated that they were able to order their own food for extra variety but said they were satisfied with the food provided.

The department reviewed the facility’s menu and took a tour of the kitchen and verified that they do serve a variety of American and Korean meals for their residents.

Based on observation, interviews, and records reviewed, there is insufficient evidence to support the allegation that Staff do not provide adequate food service to a resident. 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 Unsubstantiated.

No citations were issued.

An exit interview was conducted with Terri Han, Administrator’s Assistant, and a hard copy of this Complaint Investigation Report was provided.