Complaint Investigation Report

Sign In and Out Sheet (dated 01/2025--02/2025), and Flex Note (2/17/2025, 02/21/2025, 03/01/2025, 03/02/2025. and 03/04/2025.

On 01/21/2026 & 01/26/2026, between 11:30 a.m. and 3:30 p.m., LPA Pamela Bunker conducted interviews with staff members #1–#4 (S1–S4) and with residents #2–#6 (R2–R6). Resident #1 (R1) was unavailable for an interview as they no longer reside at the facility. R1 transferring to a higher level of care facility.

The investigation revealed the following.

Allegation : Staff did not safeguard the resident’s personal belongings.

LPA interviewed staff members S #1–S4 (S1-S4). All four staff members (4 out of 4) stated that facility staff safeguard residents’ personal belongings. They explained that Resident R1’s laundry is handled by the responsible party, not by facility staff. S1–S4 further stated that if any personal belongings are missing, staff will search for the items or replace what is missing. S1-S4 denied the allegation.

LPA interviewed Residents #2–#6 (R2–R6), who stated that staff safeguard their personal belongings and nothing has gone missing. 5 out of 6 residents reported that staff are always available to assist and make sure they are not missing any of their personal items. R2-R2 denied the allegation.

Allegation: Staff did not give a resident water.

LPA interviewed staff members #1-4 (S1–S4). All four staff members (4 out of 4) stated that facility staff provide residents with plenty of water to drink and that each resident has a pitcher of water in their room. S1 and S2 stated that the resident was not hospitalized for dehydration or lack of water but was hospitalized for a urinary tract infection (UTI). S1-S4 denied the allegation.

LPA interviewed residents #2-6 (R2–R6). All five residents (R2-R6) stated that they receive plenty of water to drink and have a pitcher of water in their rooms. R2–R6 denied the allegation.