complaint·March 23, 2023

On 12/02/21, LPA interviewed Jeff Emoruwa, previous Executive Director Robert Snee and staff (S2 and S3). Jeff Emoruwa stated he was not at the facility when the incident between R1 and R2 happened but it was reported to him. Robert Snee stated he was at the facility that early morning but he did not witnessed when it was happening. Snee indicated it the first time R1 exhibited aggressive behavior. S2 stated she did not witnessed the incident but the front desk person (S4) who witnessed it called, and she and the facility LVN went to the lobby where the incident took place. They separated the residents. S2 stated R1 is a nice person and it was the first time R1 exhibited aggressive behavior. Staff were told to monitor R1 and R2. S3 indicated she did not witness the incident, and R1 and R2 were not assigned to her. LPA was not able to obtain information from R1, R2 and S4. On this day, 3/23/23, LPA interviewed S1 and S5. S1 stated he does not remember exactly what happened but with residents with diagnosis of dementia, incident can happen so fast, and when it happens, they separate the residents. He assess and determines what are the triggers to the behavior. If there's injury, they call 9-1-1 and notify the resident's primary care physician and responsible person. S5 stated when incident between residents happen, they separate the residents and call the facility LVN to assess. If there's injury, they call 9-11 right away. Based on all information ga thered, and LPA unable to obtain information from R1, R2 and S4, the allegation of resident (R1) pushed another resident (R2) while in care is closed as unsubstantiated. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. No citation issued. Exit interview conducted, and copy of this report provided.