Complaint Investigation Report

During today’s visit, the LPA and Staff conducted a physical plant tour at 11:27AM, and no immediate concerns were observed. The following was then determined:

Allegation: “Staff do not treat resident with respect”

It was reported that on 10/23/2025, Staff #1 (S1) spoke inappropriately and shouted at Resident #1 (R1). Specifically, S1 allegedly directed R1 to clean up used cigarettes in the rear yard. R1 complied and attempted to dispose of the cigarettes in the garbage bins located on the driveway outside the facility gate. During this time. S1 reportedly insulted R1; however, no specific examples of insulting language were provided.

Interview with S1 revealed that S1 did not instruct R1 to clean their cigarettes but instead inquired about a pack of cigarettes left the day prior, with the intention of returning it. R1 responded that the pack did not belong to them and then proceeded to answer the rear gate for an unknown individual approaching the facility. S1 explained to R1 that visitors are not permitted entry through the rear yard and must enter through the front door. R1 then indicated they needed to access the garbage bins, at which point Resident #2 (R2) intervened. R2 confirmed that S1 did not instruct R1 to clean up and reported that no shouting or demeaning comments occurred. R2 further explained that R1 attempted to exit the rear gate to access the garbage bins, but R2 reminded R1 that a trash/ash tray was available on the patio table for cigarette disposal.

Resident #3 (R3) noted that staff can sometimes be perceived as carrying themselves with a negative attitude, while R2 and Resident #4 (R4) described staff as respectful. R1 also acknowledged that two (2) out of three (3) staff are respectful. Observations of staff interactions did not reveal yelling or mistreatment of residents. S1 acknowledged the importance of their role and expressed a commitment to ensure they speak to residents calmly and respectfully.