Complaint Investigation Report

It was alleged that Licensee does not ensure visitor policy is posted in the facility. LPA toured the facility and observed visiting hours were not posted in the facility. LPA reviewed paperwork removed from the bulletin board during the week of May 18th, due to dry wall construction work being done on the wall. No visiting hours were posted. File review did show that visiting hours were stated in both the House Rules policy and Admissions Agreement signed on 2/5/2026.

LPA interviewed two of two residents who stated they are allowed visitors and can come and go as needed. Two of two residents had no issues with the visiting policy. LPA interviewed two of two staff who stated visiting hours were verbally shared with visitors. Staff stated they accommodate visitors, even if they go past visiting hours; where visitors have remained in the facility through 8pm or 9pm. Staff also stated they provide visiting hours for consistency for the residents and staff routines and request visitors abide by the rules.

Based on LPA's observations, file review and interviews, the allegation that: Licensee does not ensure visitor policy is posted in the facility is Substantiated. A Technical Violation will be given and visiting hours were posted by the end of the visit. An exit interview was conducted with Administrator, Lorna Smith, and a copy of this report, LIC 811 and LIC 9102-TV was provided to the facility.