complaint·April 15, 2025

It was alleged that Staff #1 (S1) yells at residents and handles them in a rough manner and that on 04/04/2025, S1 restrained and pushed Resident #1 (R1) and on 04/05/2025, S1 yelled at Resident #2 (R2) to leave. LPAs attempted an interview with R1, and interviewed R2 and six (6) other residents. No concerns were noted and no information supporting the allegations were found. Residents interviewed stated that staff treat them fairly and do not yell at them or handle them roughly. LPAs interviewed five (5) staff of which four (4) were on shift between 04/04/2025-04/05/2025. One (1) out of five (5) staff interviewed stated that S1 yells at residents and handles residents in a rough manner. Four (4) out of five (5) staff interviews had no evidence supporting the allegations and stated that staff have not been observed to yell at residents or handle them roughly. All staff and four (4) out of seven (7) resident interviews confirmed that R1 is combative, and staff physically redirect R1 from hitting staff or other residents as has happened in the past. LPAs observed R2 to be hard of hearing and staff interviews confirmed that R2 requires louder volume to hear. LPAs reviewed S1’s training transcript and observed all training up to date, including dementia care, ethics, and knowing the rights of residents. LPAs reviewed R1’s physician’s report dated 01/18/2023 documenting R1 with “inappropriate behavior” and R2’s physician’s report dated 04/17/2024 documenting R2 with “auditory impairment.” Based on interviews, record review, and LPAs’ observation, the information obtained during the investigation does not have sufficient evidence to corroborate the allegations. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegations “Staff handled resident in a rough manner” and “Staff yells at residents in care” are deemed UNSUBSTANTIATED at this time. No deficiencies cited at this time. Exit interview conducted. A copy of the report was issued.