Interviews conducted with Executive Director, staff members and residents indicated that staff are responding to call button pushes in a timely manner. LPA reviewed call button time logs, from May 2026 and April 2026, which indicated that R1 would frequently push their call button and staff responded timely. Interview with R1 indicated that when R1 pushes their call button, the staff respond within a reasonable time. In review of resident call button logs, the average response time after a resident pushes their call button was five (5) to twenty (20) minutes. Based on information gathered the Department finds allegation to be UNFOUNDED. A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis.

Allegation: Licensee does not ensure that staff are receiving required training

Based on documents obtained and statement reviewed, the department determined that Licensee does ensure staff have required training. The Department reviewed three (3) staff training records and noted that staff were adequately trained per regulations with topics including medication management, Dementia, resident rights, activities, ADLs, etc. Records show the required training hours. Staff interviewed stated that staff do receive training. Based on information gathered staff are receiving the required training. The Department finds allegation listed above to be UNFOUNDED. A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis.