The complaint alleges that Resident #1 (R1) is not assisted with their medication and medical needs. No further information was provided. LPA interviewed staff and residents, including R1, as well as reviewed documents for R1. Review of R1’s service plan dated 11/27/2024, R1 was independent and able to store and self-administer their own medications. Interviews revealed that at the time of the complaint, R1 was independent and able to meet their own medical needs, including scheduling appointments. The facility was able to assist R1 with transportation needs to and from their medical appointments. R1 indicated they felt their needs were not being met, but was unable to elaborate on specific needs not being met. Although the allegation may have happened or is valid, there is not sufficient evidence to prove the alleged violation did or did not occur, therefore the allegation “staff do not assist with medical needs” is deemed Unsubstantiated at this time.

Allegation “Staff do not treat resident with respect” and “Staff yell at resident:”

It was alleged that staff do not treat R1 with respect and yell at R1. An incident was reported in which new residents were moving into the facility during the evening hours. R1 was in their room and the new residents were moving into the room next door. R1 became upset at the noise level during the move and went to the new residents’ room. Staff were present assisting the residents with their move. R1 knocked loudly on the door and was reportedly agitated. According to interviews with staff and resident present during the incident, R1 began yelling at the new residents and the staff. Interviews revealed that staff did ask R1 to return to their room and were initially kind in their request. When R1 continued to raise their voice and engage with the staff and residents, the staff became more direct in their approach. R1 was reported to threaten the staff, use offensive language, and was generally disruptive. Staff called police to the facility due to R1’s behavior. Witnesses to the incident indicated that staff were not yelling at R1, but did raise their voice and speak directly to R1 before calling police to intervene. Although the allegation may have happened or is valid, there is not sufficient evidence to prove the alleged violations did or did not occur, therefore the allegations “staff do not treat resident with respect” and “staff yell at resident” are deemed Unsubstantiated at this time.

Allegation “Unlawful eviction:”

Following the incident that occurred at the facility on 12/19/2025 involving R1, facility management issued R1

Report Continued on LIC 9099-C (p. 3)

Allegation “Staff did not provide breakfast to resident:”

During an unrelated visit at the facility, LPA observed residents during a meal and interviewed staff and residents related to the allegation. Staff stated that the kitchen is open most of the day, with hours of service for breakfast, lunch, and dinner. Snacks are available between meals. Additionally, when the kitchen is closed, residents can still request food from the staff and staff will ensure the residents have food available. Interview with R1 revealed that R1 has their own food in their room to eat. R1 typically eats breakfast before leaving the facility for a walk. R1 did state they would prefer to have reminders for breakfast, but does not require regular reminders, as R1 is independent. Staff interviewed stated no resident, including R1 has ever been refused a meal. Although the allegation may have happened or is valid, there is not sufficient evidence to prove the alleged violation did or did not occur, therefore the allegation “staff did not provide breakfast to resident” is deemed Unsubstantiated at this time.

Allegation “Staff do not assist resident with showering:”

R1’s care plan dated 11/27/2024 indicates R1 did require some assistance showering. However, staff interview revealed that upon move in and going forward, R1 was reassessed to not require assistance with showering and prefers to shower independently. For that reason, R1 was not added to the shower schedule that was provided during the complaint investigation. During the initial visit, LPA went to R1’s room to speak with them and when LPA knocked on the open door to R1’s room, the shower was running. R1 told LPA that they were showering and would be available after the shower was completed, so LPA waited outside in the hallway. No staff emerged from R1’s room and R1 stated they shower with no staff assistance. R1 informed

Report Continued on LIC 9099-C (p. 4)

No citations issued. Exit interview conducted. A copy of today's report was provided.