Complaint Investigation Report

R1 was a previous resident at the facility with a mental health diagnosis that required them to need assistance with medication management, which was provided by the facility. Per review of R1's records, R1 was noted to require assistance with medication management. Staff interviews corroborated that R1 would often refuse to take their medications. Medication refusal is within R1's rights and facilities cannot force an individual to take medications if they do not want to. Additionally, it was corroborated by staff interviews that R1, who had a history of drug use, began using again -- causing R1 to become even more noncompliant with taking their prescribed medications. Facility records also documented increased aggression and inappropriate behaviors from R1.

In regards to the allegation of the facility not ensuring R1 showered, the choice to bathe is also a Personal Right, and residents cannot be forced to bathe if they do not want to. Staff interviews corroborated that staff would provide daily reminders to residents to shower, and that R1 would choose not to, or that if R1 did bathe, they would put back on the same clothes they were wearing without washing them. Additionally, review of R1's records document that R1 did not require assistance with bathing.

In regards to the allegation of pests, staff and resident interviews corroborated that while pests have been noted at the facility, action is taken for treatment. Staff and resident interviews revealed that regular treatment by staff and outside pest control technicians are done routinely. Records review of pest control invoices and payments note monthly pest control services conducted from February 2025 through July 2025.

Based on interviews and records review, while the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred – therefore the allegations have been determined to be UNSUBSTANTIATED. An exit interview was conducted with Administrator Hernandez to whom a copy of this report and the Licensee/Appeal Rights (LIC 9058) were provided. Their signature below confirms receipt of these documents.