Inspection Reports for
Lo-Har Senior Living

During the visit, no immediate health or safety concerns were observed. The analyst toured the facility, spoke briefly to residents, and secured records.

The complaint alleged that staff were not assisting Resident 1 with hygiene. The investigation found that Resident 1 refused care starting October 2025, and the facility reported these issues to the responsible party and medical provider. The allegation was unsubstantiated.

The investigation included observations, record reviews, and interviews, revealing that the resident often refused care, leading to rashes treated with prescribed ointment. The allegation was found to be unsubstantiated due to lack of preponderance of evidence.

The complaint alleged that lack of supervision resulted in a client-on-client altercation when Resident 1 accused Resident 2 of hitting them. The allegation was unsubstantiated after investigation including interviews, records review, and observations.

The investigation found no corroboration that the alleged incident or supervision issue occurred. Interviews with staff, residents, and outside sources, as well as records review and direct observation, did not support the allegation. The complaint was determined to be unsubstantiated.

The facility was found to be in compliance with all licensing requirements. The environment was safe and well-maintained, with no deficiencies cited during the visit. Resident rooms, kitchen, medication storage, and safety equipment were all in proper order.

The complaint was unsubstantiated after investigation. Allegations included injury during transfer, lack of incontinence care, and unmet dietary needs. Interviews and records did not confirm these allegations.

The investigation included interviews and record reviews which found no preponderance of evidence to substantiate the allegations. The resident's bruise was not confirmed to be caused by staff, incontinence care was provided as required, and dietary shakes were regularly given with one delivery delay incident. Therefore, all allegations were unsubstantiated.

The visit was complaint-related, following reports of alleged rough treatment of Resident #1 by staff and a medication error involving Resident #2. The abuse allegation was not substantiated, and no adverse effects resulted from the medication incident.

No deficiencies were cited during the visit. An internal investigation found no abuse in the reported incident, and staff have been retrained on medication management with plans for ongoing audits and shadowing.

The complaint alleged neglect resulting in hospitalization, inadequate supervision, unmet laundry needs, and lack of a food service director. The investigation concluded the allegations were unsubstantiated.

The investigation found that the resident with alleged neglect was able to self-propel their wheelchair and staff appropriately notified the medical provider, who determined hospitalization was unnecessary. Staffing was adequate based on acuity levels. The facility had no designated food service director but employed a person responsible for food planning and service. Laundry needs were generally met with staff aware of service needs and hiring additional staff. The allegations were deemed unsubstantiated based on interviews and records review.

The complaint included allegations that staff did not provide residents with housekeeping, did not properly launder residents' clothing, did not safeguard residents' belongings, and did not meet residents’ dietary needs. The findings were unsubstantiated.

The investigation was unable to prove or disprove the allegations, and the findings were determined to be unsubstantiated after a review and telephone conference with the current administrator.

Complaint was unsubstantiated after investigation including interviews with the resident, Clinical Director, Wellness Coordinator, other residents, and outside sources. No staff terminations related to the allegation were confirmed.

The investigation found no preponderance of evidence to substantiate the allegation. Interviews with staff, residents, and outside sources did not confirm the incident, and the complaint was determined to be unsubstantiated.

The complaint involved allegations of residents sustaining unexplained injuries, inimical staff conduct, lack of supervision resulting in a resident left on the floor for an extended time, staff yelling at residents, failure to follow physician's special diet orders, and unsanitary facility conditions. The findings were unsubstantiated.

The investigation found no corroborating evidence to support the allegations. The findings were determined to be unsubstantiated due to lack of necessary details and inability to prove or disprove the claims.

The complaint was received on 2025-04-02 and involved allegations regarding medical attention, feeding, hydration, and facility cleanliness. The allegations were found to be unsubstantiated after investigation.

The investigation found that the allegations were unsubstantiated based on interviews, record reviews, and observations. The resident with gastrointestinal issues had ongoing medical care, the resident who refused meals had access to protein shakes, water was available throughout the facility, and no malodors were detected in bedding or resident rooms.

The complaint alleged neglect and/or lack of supervision resulting in a resident-on-resident altercation with injury. The investigation was unsubstantiated based on record reviews and interviews. Both residents received medical care and adjustments were made to supervision and medication.

The investigation found that on December 23 and 24, 2024, two residents had physical altercations resulting in injuries to one resident. Staff intervened, provided first aid, and contacted emergency personnel. Additional supervision and room separation measures were implemented. The preponderance of evidence did not support the allegation of staff neglect or lack of supervision.

The visit was triggered by an incident report received on 12/18/24 about missing medication. Interviews and records confirmed the resident had sufficient medication and the incident was reported to the medical provider, pharmacy, and another government agency.

The investigation found that the resident did not miss any medication doses despite the medication being reported missing. No deficiencies were cited during the visit.

The complaint involved Resident #1 eloping from the facility on 10/29/2024. The resident was found by a responsible party, and the licensee followed the absentee notification plan.

During the visit, a health and safety check was conducted, and no deficiencies were cited. The licensee followed the absentee notification plan as necessary.

The complaint alleged that staff did not allow a resident to contact emergency personnel. The allegation was investigated and found to be unsubstantiated.

The investigation found no preponderance of evidence to support the allegation that the resident was restricted from contacting emergency personnel. Staff interviews and record reviews indicated the resident continuously contacts emergency personnel and is not limited from using their cell phone. The allegation was unsubstantiated.

During the visit, it was found that the previous Wellness Director had not provided the report to the Administrator, and both were unaware of the plan of correction due date. The Licensing Program Analyst granted an extension of the plan of correction due date to 2024-05-31.

The Licensing Program Analyst conducted a health and safety check and consultation, observed an auditory alarm installed in the memory care cottage, and cited no deficiencies during the visit.

The Licensing Program Analyst delivered the amended complaint report dated 1/27/2023 and obtained the Wellness Director's signature confirming receipt of the report and licensee appeal rights.

The complaint alleged that staff falsified medication records and failed to issue medications as prescribed to Resident 1. The investigation was unsubstantiated based on interviews with staff, the Executive Director, and an outside source, as well as review of medication records and resident blood work.

The investigation found no preponderance of evidence to substantiate the allegations. Interviews and record reviews indicated that Resident 1 regularly took medication as prescribed and that medication administration records were accurate, with no evidence of falsification.

During the visit, a health and safety check of the residents was conducted and consultation was provided. No deficiencies were cited during the visit.

During the visit, a health and safety check of the residents was conducted and consultation was provided. No deficiencies were cited during the visit.

Complaint alleged Resident 1 was not allowed to return to the facility after hospital stay and was issued a 30-day eviction notice. Investigation found the allegation unsubstantiated.

The investigation found no preponderance of evidence to prove the alleged violation occurred; the allegation of unlawful eviction was unsubstantiated. Resident 1 did return to the facility on March 7, 2024, and communication with the hospital about the resident's stability was confirmed.

The complaint alleged that staff did not follow a resident's care plan. The investigation was unsubstantiated due to lack of evidence.

The investigation found no evidence to support the allegation that staff failed to follow the resident's care plan. Interviews and record reviews indicated the resident did not have a Do Not Resuscitate (DNR) order documented, and staff had no knowledge of such documentation. The allegation was unsubstantiated.

The complaint alleged lack of supervision resulting in serious bodily injury to Resident 1 and insufficient staffing. The investigation revealed Resident 1 fell while attempting to walk, resulting in a hip fracture. Staff were present and responded promptly. Resident 1 is prone to falls due to medical condition and behavior. Staffing was below pre-pandemic levels but sufficient to meet residents' needs. The findings were unsubstantiated.

The investigation found that the resident's fall was not due to inadequate staffing or lack of supervision. The allegations were unsubstantiated based on observations, interviews, and records review.

The complaint alleging staff did not assist Resident 1 with feeding was unsubstantiated based on interviews with staff, the resident, and an outside source, as well as review of resident records and care plans.

The investigation found no preponderance of evidence to substantiate the allegation that staff failed to assist the resident with feeding. Interviews and record reviews indicated the resident requested and received assistance from one staff member and generally did not request help from others.

The Licensing Program Analyst conducted a health and safety check on residents and the fire-affected room, finding the room clean with damaged furnishings replaced. No deficiencies were cited or observed during the visit.

The complaint was unsubstantiated based on interviews, record reviews, and observations. Allegations included neglect causing a bedsore, inappropriate living arrangements, failure to prevent harm, and failure to notify a responsible party. Conflicting statements and evidence led to the conclusion that violations did not occur.

The investigation found insufficient evidence to substantiate the allegations. Resident 1's bedsore was properly cared for, Resident 2 chose to sleep on the couch, Resident 3's altercation with Resident 4 was managed with first aid, and staff reported the incident to the responsible party, though the responsible party denied receiving the call.

The complaint alleged that Resident 1 was not allowed to use the facility telephone to contact outside sources. The allegation was found to be unsubstantiated based on interviews, observations, and record reviews.

The investigation found that Resident 1 had access to a telephone in their cottage and staff regularly assisted with telephone use. There was no preponderance of evidence to prove the alleged violation occurred, and the complaint was unsubstantiated.

The Licensing Program Analyst observed no immediate health or safety issues and cited no deficiencies. The facility's secured perimeter was approved by the local fire authority, and staff interviews confirmed appropriate resident supervision practices. The application process for the secured perimeter is complete pending final management review.

The complaint was unsubstantiated. Allegations included neglect causing a medical emergency for Resident 1, improper maintenance of Resident 2's medical records, and failure to provide Resident 2 with a bed. Interviews, record reviews, and observations did not support these allegations.

The investigation found no preponderance of evidence to substantiate the allegations. Resident 1 was assessed multiple times and no neglect was found. Resident 2's medical records were maintained accurately, and although Resident 2 was not using the assigned bed, it was by personal choice and not due to staff neglect.

The complaint investigation was unsubstantiated based on evidence including interviews with residents and staff, record reviews, and observations. Allegations included staff hitting a resident and failure to safeguard residents' belongings.

The investigation found no evidence to substantiate the allegations of staff hitting residents or failing to safeguard residents' belongings. Interviews with residents, staff, and outside sources, as well as record reviews, supported that the allegations were unsubstantiated.

The allegation was that staff were physically rough with Resident #1 on 08/09/23 causing left side hip pain. Medical assessments found no injuries or trauma. Resident #1 was wheelchair bound and had a history of fabricating stories. Staff and resident interviews confirmed facility staff were not physically rough.

The investigation included interviews and record reviews which revealed inconsistent statements and no preponderance of evidence to support the allegation. The complaint was deemed unsubstantiated.

The complaint alleging the facility is in disrepair was unsubstantiated after inspection, interviews, and record review. Management has agreements with contractors to repair the HVAC and ceiling damage, and no health or safety issues were found.

The investigation found an active ceiling leak caused by an old HVAC system, with management taking steps to repair the damage. The area was closed off with caution tape and no health or safety issues were present. The allegation was unsubstantiated due to lack of evidence of violation.

The complaint alleged that staff did not afford Resident 1 privacy during phone calls. The allegation was unsubstantiated after investigation.

The investigation included interviews, facility inspection, and record review. It was found that residents are generally accorded privacy during phone use, with phones located in common areas and a protocol allowing private phone calls upon request. The allegation was unsubstantiated due to lack of evidence.

The complaint investigation was unsubstantiated. Allegations included illegal eviction, uncleared staff, facility toilets in disrepair, and failure to conduct emergency drills. Interviews and documentation did not support these claims.

The investigation found no evidence to substantiate the allegations. Interviews and observations confirmed no illegal eviction occurred, all staff were properly cleared, toilets were maintained and functional, and monthly emergency drills were conducted with documentation provided.

The complaint alleged neglect caused Resident 1 to elope from the facility. The allegation was unsubstantiated after review of interviews, records, and safety plans.

The investigation found no preponderance of evidence to substantiate the allegation of neglect resulting in resident elopement. Records and interviews showed the resident had eloped five times in six months but the facility followed established protocols and safety plans.

The complaint investigation was unsubstantiated. Allegations involved staff not ensuring residents received meals, staff sleeping during working hours, inappropriate speech to residents, forcing a resident to shower, forcing food into a resident's mouth, and not ensuring resident privacy. Interviews and observations did not provide a preponderance of evidence to support the allegations.

The investigation included interviews, record reviews, and observations. Allegations included staff not ensuring residents received meals, staff sleeping during working hours, inappropriate speech to residents, forcing residents to shower, forcing food into a resident's mouth, and lack of resident privacy. The investigation found inconsistent statements and insufficient evidence to substantiate the allegations; therefore, all allegations were deemed unsubstantiated.

The complaint was unsubstantiated. Allegations included staff failing to prevent a resident from wandering away on June 11, 2022, and December 17, 2022, and failing to address a change in the resident's condition prior to June 11, 2022. The facility followed procedures during both incidents, and no change in condition was documented prior to the first wandering incident.

The investigation found that the resident wandered away from the facility on two occasions, but the facility followed all absentee notification procedures and moved the resident to a memory care cottage after the first incident. There was no documented change in the resident's condition prior to the first wandering incident. Based on interviews and record reviews, there was insufficient evidence to substantiate the allegations.

The complaint involved Resident #1 going absent without official leave on 12/17/2022 and returning the same day. The licensee followed the absentee notification plan as required.

During the visit, a health and safety check was conducted and consultation was provided. No deficiencies were cited during the visit, and the licensee followed the absentee notification plan as necessary.

The complaint involved allegations that staff failed to protect a resident resulting in fractured ribs and failed to report the resident's change in condition to the responsible party. The investigation found these allegations unsubstantiated based on interviews, medical records, and family statements.

The investigation included interviews, records review, and a facility tour. The allegations were found to be unsubstantiated as the evidence did not meet the preponderance of proof standard. The resident had pre-existing rib fractures and no recent bruising was observed, and the responsible party was eventually notified.

No deficiencies were cited or observed during the inspection. The Licensing Program Analyst evaluated the facility's infection control mitigation plan and provided consultation.

The fire was contained to Building B's front entrance with no injuries to residents. The affected area was cordoned off, and electrical repairs were confirmed to be completed. No deficiencies were cited or observed during the visit.

The resident was located approximately two blocks away from the facility, was intoxicated and displaying erratic behavior, and was transported to a psychiatric hospital. A care plan was created to address the AWOL occurrence. No deficiencies were cited during the visit.

No deficiencies were observed during the inspection in the areas evaluated, including symptom screening, infection control procedures, PPE supplies, and disinfection practices.

The Plan of Correction was cleared at this visit with no violations cited. An exit interview was conducted with the Administrator and the report was provided via email.