complaint·December 11, 2023

It was alleged that, Residents were molested while in care. Based on interview with resident (R1), R1 stated that two men came into their room at night to offer them water and a diaper change, R1 felt uncomfortable by the two men and expressed to them that they did not want the two men to come into their room anymore. R1 learned that those two men were R2 and R2’s brother, and not facility staff. R1 did not disclose abuse of any kind by facility staff. It was alleged that, Resident sustained injury while in care. Based on record review, staff (S1) tried to care for R2, but was unable to due to R1 not allowing S1 to render care to R2. R1 pulled on S1 and cut their finger, S1 gave R1 a bandage and suggested they be evaluated due to their behavior and injury. It was alleged that, Staff did not seek medical attention for the resident. Based on record review, S1 provided first aid to R1 and evaluated them when they injured themselves, based on the injury facility staff did not call EMS for R1. Based on interviews and record review, although the allegations may have happened or are valid, there are not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED . Exit interview conducted and a copy of this report provided.