Complaint Investigation Report

conducted a tour of the facility including facility kitchen and pantry. On 04/17/25 LPA conducted medication review, and from 1pm-2:00pm LPA conducted interview with staff #2-4 (S2-S4). On 4/24/25 from 10:50am -11:03 am LPA conducted interview with staff #1 (S1).

The investigation revealed the following:

Allegation: Staff do not treat residents with dignity and respect.

It is being alleged that facility staff staff call clients in care names. On 04/09/25 from 12pm-12:40 pm LPA conducted interview with L1 regarding the allegation above, L1 denied the allegation above and reported that the clients are the ones who call the staff names. On 04/09/25 from 1pm-2:00pm LPA conducted interview with S2-S4, 3 of 3 staff denied the allegation above, per 1 of the 3 staff interviewed staff get called names by the clients in care but staff do not respond back. On 04/09/25 and 4/17/25 LPA conducted interviews with C1-C5 regarding the allegation above, 3 of 5 clients interviewed denied the allegation above, 1 of 5 clients interviewed denied the allegation above but reported that staff member has an attitude, 1 of 5 clients interviewed confirmed the allegation above and reported being yelled at, hit, and disrespected by staff. On 4/24/25 from 10:50am -11:03 am LPA conducted interview with S1 regarding the allegation above, S1 denied the allegation above and reported that the licensee would have spoken to S1 about the allegation if it had occurred.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

Exit interview conducted, and a copy of this report was provided to Licensee.