complaint·March 20, 2026

Allegation: Staff did not seek medical treatment for residents in a timely manner It is being alleged that staff neglected to provide prompt medical attention to residents after an altercation. LPA Shirley reviewed Special Incident Report dated 7/10/25, which noted the following: Staff 2(S2) reported that on 7/9/25, Resident 1 (R1) and Resident 2 (R2) were arguing. R2 stated that while he was tying his shoes, R1 turned the bedroom light off. When R2 got up to turn the light back on, R1 hit him in the face with his shoe, so R2 hit him back. The staff initiated medical attention but both residents declined further medical services at that time. The Department reviewed R1 and R2’s Physician Reports, dated 1/1/25. Upon review of the physicians reports for both residents involved in the altercation, LPA Shirley noted identified diagnoses that if involved in an altercation would’ve required immediate medical attention by a licensed medical staff. The Department reviewed R1 and R2’s Resident Appraisals, dated 1/2025, stating that both residents are able to express and communicate their needs. The Department reviewed R1’s medical reports from St. Francis Medical Center – Emergency Room, dated 7/10/25. R1 presented to the emergency room staff with symptoms of pain to the side of neck and shoulders, separate and distinct from the incident reported on 7/9/25. Per interview, 10/1/25, S2 stated after the altercation both R1 and R2 were asked to go to the hospital, but they both declined. Per interview, 10/1/25, S2 stated that R2 called law enforcement and the police offered medical transport to the hospital for both residents, but both individuals declined. Based on information gathered, LPA did not find sufficient evidence to support the allegation “Staff did not seek medical treatment for resident in a timely manner,” therefore, the allegation is unsubstantiated. An exit interview was conducted, and a copy of this report was provided to Christina Novoa, Business Office Manager.