complaint·May 23, 2024

Allegation: Lack of supervision resulted in physical altercation between residents It is being reported that a resident kicked another resident while in care. During interviews, LPA learned both residents moved into this facility together as a couple and resided in the same room. On 3/23/24 staff observed R1 and R6 walking down the hallway and R1 was crying. S4 start walking towards the residents to find out why R1 was crying when R6 kicked R1 twice. S4 ran to intervene and divided and redirected the two residents. S4 reported the altercation to the Med Tech on duty. On 5/23/24, LPA Shirley interviewed staff 2 through staff 8(S2-S8). S1 was not available. LPA asked staff, do you believe a lack of supervision resulted in a physical altercation between residents. Of those interviewed, 7 out of 7 answered, no. LPA Shirley interviewed resident 1 – resident 8 (R1-R8). LPA ask residents, do you believe that lack of supervision results in physical altercations between residents. Of those interviewed, 6 out of 8 answered, yes, 1 answered no, and 1 had an answer other than yes or no. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated .