Complaint Investigation Report

A facility visit was conducted on 01/15/2025, during which LPA interviewed R1. R1 reported that they were able to use the restroom and bathe independently. R1 stated they cleaned themselves and would request assistance if needed but emphasized they were generally independent. R1 acknowledged having a rash in the groin area and receiving treatment but was unsure how the rash developed. During the same visit, five additional residents were interviewed. None reported concerns and all stated they received assistance when requested.

On April 14, 2026, LPA De La Cruz conducted a record review at the facility. R1’s pre placement appraisal dated 05/08/2024 indicated that R1 was toileting independent and required only verbal reminders. A subsequent Medical Assessment dated 07/10/2025—six months after the complaint—documented that R1 remained “able to care for own toileting needs.”

During the April 14, 2026 visit, LPA contacted an outside source familiar with R1 (OS1). OS1 stated they had no knowledge of the incident reported in January 2025. OS1 confirmed that R1 did not require toileting assistance other than reminders approximately every two hours to use the restroom. OS1 expressed confidence that R1 was safe and appropriately cared for at the facility.

Based on records reviewed, interviews with residents, the alleged victim and outside sources, as well as medical and facility records, the information reviewed does not support the allegation that the facility failed to change the resident in a timely manner. The preponderance of evidence standard has not been met, and the allegation is deemed unsubstantiated.

Report and Appeal Rights were discussed with and provided to the Licensee. The Licensee’s signature below confirms receipt.