Incident investigation·January 26, 2023

On 01/26/2023 at 10:15 AM, Licensing Program Analyst (LPA) J. Sampair arrived unannounced to conduct a Case Management visit that concerned an Unusual Incident Report (UIR) that described an incident on 01/18/2023. The UIR concerned a supposed verbal threat made to resident R1 by R2 on 01/18/2023. R2 did not remember having had that exchange with R1 and there were no witnesses of it having occurred. Upon entry, LPA explained the purpose of the visit to Rosario Holandez, Community Business Director. Executive Director (ED) Kelli Greene arrived at approximately 10:45 AM. During the meeting, the LPA and ED reviewed both residents' records and what actions had been taken up to this time and the future actions to be taken to reduce the likelihood of additional conflicts between the residents. The LPA was satisfied that the facility was taking the appropriate measures. No citations were issued. Exit interview conducted and copy of this report provided via email.