It was alleged that staff mismanage resident medication. This investigation consisted of facility records review. On 07/14/2026 LPA Hughes conducted a visit to the facility, and reviewed Medication Administration Records (MARs) for 4 out of 6 residents in care. LPA did not identify any discrepancies in medication administration for the residents whose records were reviewed. There was insufficient evidence to corroborate this allegation. Therefore, the allegation is unsubstantiated.

Allegation: Staff do not follow resident's special dietary needs

It was alleged that staff do not follow resident’s special dietary needs . This investigation consisted of interviews with residents, facility staff and records review. On 03/19/2026 LPA Tamayo conducted a visit to the facility and attempted to interview resident (R1) however, the interview could not be completed. On 07/14/2026 LPA Hughes conducted a follow-up visit and interviewed three (3) residents who did not express any concerns regarding the facility’s compliance with their dietary requirements. LPA interviewed staff (S2), who stated that one (1) resident has a physician ordered special diet and that the facility accommodates resident dietary requirements. LPA reviewed LIC 602 Physician’s Reports for four (4) residents, which identified any prescribed special diets, and there were no evidence that those dietary needs were not being followed. There was insufficient evidence to corroborate this allegation. Therefore, the allegation is unsubstantiated.

Continuation 9099-C

It was alleged that staff open resident’s mail. This investigation consisted of interviews with residents and facility staff. On 03/19/2026 LPA Tamayo conducted a visit to the facility and attempted to interview resident (R1) however, the interview could not be completed. On 07/14/2026 LPA Hughes conducted a follow-up visit and interviewed three (3) residents who did not express any concerns regarding facility staff opening their mail. LPA interviewed staff (S2), who stated that when residents receive mail, the facility provides the items received directly to residents without inspection or opening. There was insufficient evidence to corroborate this allegation. Therefore, the allegation is unsubstantiated.

Allegation: Staff did not ensure that resident's continuous glucose monitor was operating

It was alleged that staff did not ensure that resident’s continuous glucose monitor was operating. This investigation consisted of interviews with residents and facility staff, and records review. On 03/19/2026 LPA Tamayo conducted a visit to the facility and attempted to interview resident (R1) however, the interview could not be completed. On 07/14/2026 LPA Hughes conducted a follow-up visit and interviewed three (3) residents who stated that they do not have any health conditions which require glucose monitoring. Interview with facility staff (S2) did not reveal concerns regarding the monitoring of resident glucose levels. LPA reviewed LIC 602 Physician’s Reports for four (4) residents in care, which did not indicate that any resident required a continuous glucose monitor. There was insufficient evidence to corroborate this allegation. Therefore, this allegation is unsubstantiated.

Allegation: Staff did not seek timely medical attention for resident.

It was alleged that staff did not seek timely medical attention for a resident. This investigation consisted of interviews with residents and facility staff. This investigation consisted of interviews with residents and facility staff. On 03/19/2026 LPA Tamayo conducted a visit to the facility and attempted to interview resident (R1) however, the interview could not be completed. On 07/14/2026 LPA Hughes conducted a follow-up visit and interviewed three (3) residents who stated that they have no concerns regarding the facility not proving timely medical attention when needed. Interview with facility staff (S2) stated that the facility protocol is to contact the facility administrator to schedule residents medical appointments as needed. Staff further stated that when a resident appears ill or experiences a medical emergency, the facility immediately contacts emergency medical services. There was insufficient evidence to corroborate the allegation. Therefore, the allegation is unsubstantiated.

Continuation 9099-C

It was alleged that staff yelled at residents. This investigation consisted of interviews with residents and facility staff. On 03/19/2026 LPA Tamayo conducted a visit to the facility and attempted to interview resident (R1) however, the interview could not be completed. On 07/14/2026 LPA Hughes conducted a follow-up visit and interviewed three (3) residents who stated that they have not observed staff yell or speak aggressively to other residents or themselves. Interview with staff (S2) stated that they have never observed any staff speak aggressively or yell at residents in care. There was insufficient evidence to corroborate the allegation. Therefore, the allegation is unsubstantiated.

The investigation revealed the preponderance of evidence standards have not been met; therefore, the above allegations are found to be UNSUBSTANTIATED. A finding that the complaint allegations are UNSUBSTANTIATED means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred.