Complaint Investigation Report

On 02/12/2026 , LPA interviewed witness 1 (W1). W1 stated that he/she called because of a staffing concern. The complaint is that the staff are not getting their days off. W1 stated the staff are overworked and not had a day off since the beginning of January 2026. W1 stated that the licensee is not hiring people. W1 stated no resident has been left with a dirty diaper for 14 hours and stated that's is not what W1 said when he/she called the 1-800 number. W1 stated that the staff are working and helping the other facilities (Family Feels 2 and Family Feels 3) and stated that staff are working non-stop for more than 8 hours a day and never had a day off. W1 stated that he/she is worried that the caregivers will get sick if they do not have a day off.

On 02/12/2026, LPA conducted an interview with 5 residents (R1 to R5)

R1 stated that staff are there everyday Sunday to Saturday, 7 days a week and when R1 needs help staff responds to R1s needs within 2 to 5 minutes. R1 has no problem with the staff. R5 stated "they are here and can see them here all the time."

R2 was asleep and did not want to be bothered.

LPA attempted to speak with R3. Staff 1 and 2 (S1 & S2), introduced LPA to R3, but R3 refused to speak with LPA. R3 just stared at LPA. S1 and S2 stated that R3 will only speak to people he/she knows. R3 has very specific and select few that he/she wants to talk and engage in conversation.

R4 stated that he/she is ambulatory with assisted device (walker) but pretty much can go to the bathroom and needs minimal assistance with his/her ADLs, he/she gets assistance with his/her laundry, showering, and changing clothes, cleaning and changing beddings and cooking food. R4 stated he/she has not experienced any delay from staff assisting him/her with ADLs. R4 stated he/she is not incontinent and can go to the bathroom by himself/herself. R4 stated that staff did not leave a resident for 14 hours in a dirty diaper. R4 stated "that's a bit excessive I would have complained I smell pee. Staff come as soon as a resident call and respond within 2 to 5 minutes."