During today's visit starting at 10:44 a.m. LPA and staff briefly toured the physical plant areas inside and outside to ensure there are no immediate health and safety hazards, conducted two (2) staff interviews, two (2) residents, and a family visitor and obtained copies of pertinent documentation relevant to the investigation.

On the allegation, Staff does not respond to resident's request for assistance, it is the concern of the Reporting Party (RP) that Resident #1 (R1) rings their bell for assistance and staff do not respond and tends to other residents. To investigate this complaint, LPA’s conducted in person interviews, telephonic interviews, file and record review, call response time and obtained copies of pertinent documentation relevant to the investigation.

Call response time revealed that on 04/17/2025 at 4:20 p.m. LPA Cortez observed a call from room #3 and residents were assisted by staff. At 4:36 p.m. and 4:37 p.m. LPA tested the call button and staff responded at 4:50 p.m. Resident interviews revealed that during the time frame of the complaint staff assisted with resident call requests, however during night hours response times were delayed, however all calls were addressed. At times residents will shout for assistance if their calls are not addressed immediately. R1 noted that staff typically take 10 minutes or so to respond to resident calls. On one occasion R1 alleged that they requested staff assistance, however staff assisted other residents and did not assist them. Staff interviews revealed that they respond to all resident calls. Staff who hear the call first will typically respond to the request first. During night hours Staff #1 (S1) is typically responsible for addressing resident calls, however, all staff will respond. The residents use two (2) forms to call for staff, they use a manual bell and an electronic bell. Witness interviews from 04/17/2025 revealed that concerns were raised regarding the possibility that staff could not hear the calls. The concerns were addressed to the administrative staff and were being addressed. Witness interviews from 02/09/2026 revealed that to their knowledge from April 2025 to now they have had no concerns regarding the facility staff response time. To their knowledge staff response time to requests for assistance has not been a concern. Residents have not addressed any concerns regarding staff response time. Although the allegation may have happened or is valid, there is insufficient evidence to prove the alleged violations did or did not occur, therefore the allegation of “Staff does not respond to resident's request for assistance” is deemed UNSUBSTANTIATED at this time.

No deficiencies cited at this time. Exit interview conducted. A copy of the report was reviewed and provided.