Documentation from an outside agency shows that R1 provided conflicting statements regarding when the alleged incident occurred, stating it happened two weeks ago and also stating it occurred around Halloween of 2025. R1 has documented cognitive impairments and a history of making false statements. R1 described the alleged event as the facility manager entering their room, pushing them to the floor, and assaulting them.

R1’s family member was contacted and reported that R1 has made similar types of allegations in the past when attempting to leave the facility. R1’s family member stated they did not believe the accused staff member would commit such an act. During a subsequent conversation, R1 stated they wanted to leave the facility to live with their out of state family member. When informed this was not possible, R1 became upset and stated they would leave the facility on their own if returned there.

The staff member identified by R1 was interviewed and denied the allegation. They stated that R1 has made untrue claims previously. Staff further reported that R1 shares a room with another resident, and that the facility maintains an open door policy, which they stated would make it difficult for such an event to occur without being observed.

Another individual familiar with R1’s care was interviewed and stated they believed R1 was again attempting to leave the facility. They confirmed that R1’s roommate does not have cognitive impairments and has not reported seeing or hearing anything unusual. They also stated that R1 is provided appropriate care at the facility.

A review of R1’s facility records shows diagnoses of dementia, episodes of confusion, and a history of making false allegations. R1 also has several medical conditions, including frailty, malnutrition, mild cognitive impairment, anxiety, and depression. R1 was admitted to the facility on 03/09/2025.

Resident 2 (R2), who has lived at the facility for 4–5 months, stated their experience has been “good.” R2 reported that staff provide them with three meals a day and snacks upon request. R2 stated the meals are substantial and they “get enough to eat.” R2 also reported that staff provide them with drinks throughout the day or whenever they request them.

Resident 3 (R3), who has lived at the facility for 3–4 months, stated their experience at the facility has been “pretty good.” When asked what they liked about the facility, R3 immediately stated “the food,” describing it as good. R3 confirmed they are provided three meals per day, the meals contain “enough food,” and that staff always provide “enough fluids” throughout the day.

Staff 2 (S2), who has worked at the facility for over one year, stated that residents are provided three full meals a day and snacks. S2 reported that meals are generally sugar free and/or heart healthy. Staff stated the menu is changed daily to avoid repetition. Staff also reported that each resident has a water bottle in their room that is refilled two to three times per day.

During resident interviews, the LPA observed that each resident had a water bottle on a table near them.

Based on interviews, record reviews, and observations, there is not sufficient evidence to support the allegation that staff had sexual relations with a resident, nor the allegations that the facility failed to provide adequate meals or fluids. Therefore, all three allegations are unsubstantiated. The report was discussed, and an exit interview was conducted with America Cisneros. A copy of this report along with Licensee/Appeal Rights (LIC9058 3/22) were provided to America Cisneros at the conclusion of the visit. The signature below confirms the receipt of these documents.