Facility Evaluation Report

Licensing Program Analyst (LPA) Zabel Chochian conducted an unannounced Case Management – Incident visit for the purpose of investigating a self reported incident by the facility. Upon arrival LPA met with Executive Director (ED) James MacKay and Assisted Living Director (ALD) Shaulett Dela Cruz. Reason for the visit was discussed.

On 05/06/2026 late afternoon, it was discovered of a possible psychological abuse. It was reported that on 05/2/2026, night shift staff (S1) refused to assist R1 stating "you can do it yourself". In addition it was reported that S1 would not assist R1 with care needs and made R1 fearful. ED and ALD cross reported incident to law enforcement and the Long Term Care Ombudsman. Law enforcement arrived to the facility on 05/6/2026 and spoke with R1. ADL and ED also interviewed R1. Initially R1 reported that S1 pushed resident down on the toilet and later recanted and stated that S1 did not touch R1. R1 reported that S1 would not assist R1 with toileting needs and said to R1 "you can do it yourself". S1 is placed on leave pending facility internal investigation.

At approximately 1:30pm, LPA interviewed staff, reviewed and obtained copies of pertinent documentation relevant to the incident in question. From approximately 2:00pm-3:30pm, LPA and ALD toured the facility and LPA interviewed a total of nine (9) residents. Based on interviews and records review no immediate or potential health and safety concerns were observed during the visit. ADL reported that they will be conducting an in-service training for all caregivers on better approach technics on encouraging residents independence. No deficiencies cited at this time. LPA has determined should further investigation be warranted, LPA will return at a later date. Exit interview conducted. A copy of the report was issued.