On the allegation Licensee does not allow resident to have visitors at facility, it is the concern of the Reporting Party (RP) that R1 is not allowed to have visits at the facility as they please. To investigate this complaint, LPA Mosley conducted a telephonic interview with Visitor #1 (V1) of R1 on 11/3/2025 at 2:20 p.m. and 11/4/2025 at 8:07 a.m. On 11/4/2025 starting at 10:30 a.m. LPA conducted in person interviews with the Executive Director, three (3) staff, Two (2) residents including R1, three (3) visitors, the Licensee Representative, a record review and obtained copies of pertinent documents relevant to the investigation.

Interview with Visitor #1 (V1) revealed concerns that the Licensee has imposed limitations on visitation, including restrictions on timing and location. Interviews with facility staff revealed that V1 was initially permitted to visit without specific guidelines. Over time, staff reported that V1 engaged in behavior perceived as disruptive, including raising their voice, making demands while staff were assisting other residents, and expressing negative opinions about staff to other residents and visitors. Staff described feeling intimidated by V1 and noted that the environment became increasingly tense during V1’s visits. Interview with R1 revealed that they were unable to communicate verbally or in writing. Interview with Resident # 2 (R2) revealed that V1 visited daily and frequently voiced complaints about staff. R2 stated they had observed V1 yelling at staff and expressed feeling unsafe during V1’s visits, choosing to remain in their room to avoid interaction. R2 also communicated these concerns to facility staff.

Interviews with other visitors indicated that they had not experienced any issues with visitation procedures. However, they did report challenges related to V1’s behavior, including instances of V1 raising their voice at staff. Interview with the Licensee representative acknowledged difficulties in ensuring V1’s adherence to facility policies and respectful conduct toward staff, residents, and visitors. In response, the facility requested that V1 visits with R1 to be designated in areas such as outdoor spaces and R1’s room to accommodate the staff and other residents’ requests. V1 remains permitted to visit the facility while being reminded to comply with facility rules and maintain respectful interactions with all individuals on site. Facility record review revealed that V1 visited on 11/3/2025 around 3:30 p.m.,10/31/2025 at 4:35 p.m and on multiple occasions and has the opportunity to visit R1 in their room and patio privately. Although the allegation may have happened or is valid, there is insufficient evidence to prove the alleged violation did or did not occur. Therefore, the allegation of Licensee does not allow resident to have visitors at facility is deemed unsubstantiated at this time. Exit interview conducted. Report was reviewed and a copy was provided.