Incident investigation·April 2, 2025

On 04/2/2025 at 12:15 p.m., Licensing Program Analyst (LPA) A Gomez arrived unannounced to conduct a case management visit due to receiving a self report of suspected abuse (SOC341) of a resident having been verbally abused by staff. LPA met with Executive Director, Julie Mammad and explained the purpose of the visit. R1 was admitted to the facility on 4/23/2017. R1 does not have a dementia diagnosis and lives in the enhanced assisted living section of the facility. The facility conducted their own investigation and spoke with R1. R1 stated that S1 did speak to them inappropriately. However, ED did state that R1 was not able to readily identify S1 and stated that they think that is who spoke to them inappropriately. ED states that R1 has a history of making false claims against caregivers and speaks down to the staff. ED states that they interviewed R2 and R3 who states that S1 never speaks inappropriately. LPA interviewed R1, R4, and R5. R1 states that staff spoke to them inappropriately and told them to drop dead. When LPA asked R1 the name of the staff R1 was unable to provide a name. LPA also asked R1 to describe the staff that was rude to them and they were unable to. LPA also observed that R1 is very hard of hearing. LPA was unable to speak to R1 because they could not hear LPA even when voices were raised significantly so LPA had to type out the questions to converse with R1. S1 works NOC shift and interacts with residents seldom unless care is required throughout the night. Neither the facility or LPA were able to confirm if any staff were rude or verbally abusive to R1 No deficiencies cited at this time. Exit interview conducted and a copy of this report provided.