complaint·November 8, 2023

Staff yelled at resident. The department conducted interviews with staff and residents and reviewed records to investigate the allegation. Interviews indicated that S1 admitted that on 10/14/23, S1 did speak a little loudly when S1 found R1 sliding down on R1s recliner. S1 thought R1 was injured and S1 panicked and said, “this is so dangerous, please don’t do this without asking for help”. Staff spoke a bit louder as R1 has trouble hearing. R1 has a habit of moving from bed to recliner during the night. R1 was not injured in the process. At the time of incident, on 10/14/23, it is not possible to say with certainty what a staff or resident may perceive as yelling, or what a particular tone of voice may sound like to someone else. Therefore, the department is not able to conclude if S1 was in fact intending to yell or did yell at a resident; or if S1’s voice was perceived as yelling. Therefore, the allegation is 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. Exit interview was conducted with Administrator and a copy of this report was provided to the facility.