Complaint Investigation Report

Investigation consisted of the following:

On 06/12/2025, interviews were conducted, resident rooms were toured, and records were gathered. Interviews conducted consisted of 10 resident interviews [Resident 1 (R1) to Resident 10 (R10) were interviewed] and 8 staff interviews [Staff 1 (S1) to Staff 8 (S8) were interviewed]. The tour consisted of 9 resident rooms. Resident 1 to Resident 5’s (R5) records were gathered which consisted of Admission Agreements, Physicians Report, 30-day notice letter, Care Plan, and other pertinent information. Facility records were gathered which consisted of Resident Roster and Staff Roster. On 6/13/2024, interviews were conducted. Interviews conducted consisted of 5 witness interviews [Witness 1 (W1) to Witness 5 (W5) were interviewed], 2 informal conversations with staff [S8 and Staff 9 (S9)], and 1 attempted interview with Staff 10 (S10).