complaint·January 15, 2026

Staff does not prevent resident from physically abusing other residents. - UNSUBSTANTIATED It was reported that Resident 1 (R1) physically abuses other residents. During the course of the investigation it was learned that Resident 1 (R1) has a dementia diagnosis and lives in the memory care section of the facility. This behavior is new to R1 within the past 6 months and R1's physician is currently evaluating their medications to determine if a medication change is warranted. This behavior is mostly specific to Resident 2 (R2) who lives in the assisted living section of the facility and the behavior occurs at meal times. There was an incident where R2 sustained a cut to their arm when R1 grabbed them in the dining room. The facility has started keeping the memory care doors closed (unlocked) to help to deter the chance of the two residents interacting. Thus far this intervention has been successful. There have been a couple of other instances of behaviors from R1 toward other clients, there were no reported injuries as a result of these incidents. It was determined that staffing was adequate during the incident when R2 sustained the cut to their arm. This allegation is unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred, and the findings are UNSUBSTANTIATED. No deficiencies cited. Exit interview conducted and a copy of the report was provided to administrator Editha McCullough.