Incident investigation·October 22, 2025

On 10/22/2025 at 9:30AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a case management visit in regards to incident report received on 10/2/2025. LPA met with General Manager, Michael Fillari and informed him the reason for the visit. Health and Wellness Director, Susan Donaghy arrived an hour later. Based on the incident report received on 10/2/2025, family member informed the facility that resident (R1) alleged a staff slapped R1 multiple times. Facility staff checked R1 for any injuries. R1 was not able to identified the staff involved. Facility notified local police and ombudsman. During visit, LPA reviewed R1's file and observed R1 was diagnosed with MCI (Mild Cognitive Impairment). LPA interviewed resident and staff. LPA obtained R1's physician's report, care plan, care notes, and emergency information. LPA may return at a later time. No deficiencies are being cited on this date. Exit interview conducted. A copy of this report provided.