complaint·February 27, 2025

It was alleged that Staff #1 (S1) verbally abused Resident #1 (R1). LPA interviewed S1, R1, ED, Resident #2 (R2), and Resident #3 (R3). Interviews conducted did not include evidence supporting the allegation of verbal abuse. No evidence of verbal abuse or threats from S1 to R1 were observed or noted. No immediate health and safety concerns were noted. Furthermore, ED, R1 and S1 held a formal meeting mediated by the Ombudsman soon after the initial visit on 01/27/2025. No concerns were noted from the meeting or reported to the Department. LPA reviewed S1’s training transcript and observed twenty-seven and a half (27.50) hours of training completed between 09/18/2024-09/26/2024 that include courses such as “knowing the rights of residents,” “abuse, neglect, and exploitation in the elder care setting,” and “focus on the individual by listening.” ED and S1 were knowledgeable in de-escalation techniques and types of abuse. LPA had a discussion with the ED and S1 about documenting incidents involving resident-on-resident and resident-on-staff altercations. LPA also discussed with ED about identifying and addressing resident changes of condition and how to address and mitigate high behaviors in residents. The information obtained for this investigation did not include evidence sufficient to corroborate the allegation. Although the allegation may have happened or is valid, there is not sufficient evidence to prove the alleged violation did or did not occur, therefore the allegation “Staff verbally abused a resident while in care” is deemed UNSUBSTANTIATED at this time. No deficiencies cited at this time. Exit interview conducted. A copy of the report was issued.