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13 | On 11/10/2025, LPA Grace Donato conducted a telephone interview with the facility to deliver findings. LPA spoke with Administrator Vanessa Nunez and explained the purpose of the call.
Regarding the allegation of neglect/Lack of Supervision resulting in serious bodily injury, based on the records provided, resident (R1) was sent to the hospital by facility staff on 12/22/2024 after an unwitnessed fall. Due to R1s neuro cognitive issue, R1 could not recall details about the fall.
For the allegation of Licensee did not provide night supervision, the department reviewed facility notes, and it showed that staff are observing R1 all throughout R1s stay in the facility. Staff observations about R1s behaviors are noted at different times of day and night shift. According to interviews, facility has live-in staff who do the night shift.
Based on interviews and records review, the department has determined that 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.
Report is reviewed and a copy is provided.
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