Complaint Investigation Report

Interview with outside party stated they were told by staff member that other scheduled staff member was not due to arrive for another hour, however that was for a third caregiver. According to review of Time cards, there were two caregivers on site, and the third caregiver arrived for their shift at 3:50 PM. Based on review of time cards the allegation that Facility does not have adequate staffing resulting in residents’ needs not being met is unsubstantiated. Although the allegation may have occurred there is not a preponderance of evidence therefore the allegation is unsubstantiated.

The complaint alleges that Facility staff do not provide activities for residents in care. The Reporting Party (RP) indicated that the residents have not participated in any activities for the past several weeks. The RP did not provide any further information before disconnecting the call. LPA Nakagawa interviewed 3 residents able to communicate of the 17, regarding activities. They stated there were activities. Two of the three stated they preferred not to participate. LPA also interviewed a visiting family member who stated that the facility conducted activities at varying times. During visits on 6/19/2025 and 11/07/2025, LPA Nakagawa observed residents involved in a limited number of activities like balloon toss and puzzles, and residents were observed to be socializing and interacting during meals. LPA also observed an Activities Calendar. When asked about some of the activities listed, the acting administrator stated that one of the hospice agencies provided bible study on the weekends as well as music. LPA found there are no activities going on continuously, but the facility staff does provide a limited number of activities for the residents. Based on observations and interviews the allegation that Facility staff do not provide activities for residents in care is unsubstantiated. Although the allegation may have occurred there is not a preponderance of evidence therefore the allegation is unsubstantiated.