Complaint·March 19, 2025

...continued from LIC9099. Allegation: Staff engaged in inappropriate behavior resulting in resident sustaining in injury. On 01/14/25 R1, a resident of Memory Care, attempted to enter the dining room by trailing S3 which was where other staff members were preparing for the evening meals. Records and interviews from S1, S3, S4, S5 and S6 revealed that R1’s fall was not a result of S3’s inappropriate behavior. S1 stated that R1 was yelling, swearing, tugging at the dining room door, and lost his/her balance. S4 assisted with calming R1 as he/she did not want to be restrained by the paramedics for medical attention, and S5 stated, “Perhaps S3 was not aware of R1 behaviors. R1 was getting agitated, combative, and slapping our (S4, S5 and EMT’s) hands. As of late, R1 has been a fall risk and is on Hospice medication. R1 is always walking, touching things, and standing.” Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore, the allegation is UNSUBSTANTIATED. Exit interview conducted and a copy of this report provided to ED.