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32 | The investigation revealed the following:
Allegation: Unlawful eviction.
It is alleged that R1 was unlawfully evicted following an incident in late January 2026, where R1 was hospitalized and fentanyl was found in their system. LPA interviewed 4 staff and each denied the allegation and stated that an eviction notice has not been issued to resident, the room is still vacant and being safeguarded, and they are waiting for R1 to complete their rehabilitation and from there they will know if R1 will be returning or being admitted to another assisted living facility. LPA interviewed 2 Witnesses W2 stated that R1 is part of the Assisted Living Waiver (ALW) and with the most recent hospitalization they are in jeopardy of losing their waiver, the facility has been working with R1 and in trying to provide the best care. W1 is case manager for R1 and stated that they believe its in the best interest of R1 to be relocated and have had that conversation with R1 also, since there seems to be drug use it would be safest for R1 to have a change of environment. LPA interviewed 11 residents and 10 residents denied the allegation and stated they have never been evicted or been threatened with eviction.
Allegation: Staff did not safeguard resident's personal belongings.
It is alleged that upon R1 being admitted to a new location only a few of R1’s belongings were sent to the new placement. LPA interviewed 4 staff and each denied the allegation and stated that R1’s belongings are still in their room and the room is being held until post rehab and the skilled nursing home advises if R1 is ready to return or will be transferred to another facility. S1 and S2 stated that R1 has not been issued with an eviction notice. S2 stated that since R1 will be out for quite some time they have placed a hoteling lock on R1’s door to ensure the room is not accessible. LPA toured facility and observed the hoteling lock on the door, entered R1’s room and observed room to be fully furnished, and filled with personal belongings including, clothing, food, a power wheelchair, art supplies and numerous other items. S1 and S2 stated that they have taken items to R1 per their request to the skilled nursing facility on 2-3 different occasions. LPA interviewed 2 Witnesses, and both denied the allegation and stated that the facility has been taking items to R1 during hospitalization and do not believe that R1’s belongings are not being cared for. LPA interviewed 11 residents and 10 residents denied the allegation and stated they haven’t had any of their belonging go missing or stolen and they are able to lock their rooms to safeguard their belongings.
Based on the investigation conducted, interviews with staff/residents and R1's file, there was insufficient evidence to support the reported allegations. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. Exit interview was held, and a copy of this report was provided.
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