complaint·September 13, 2022

The investigation revealed the following: Regarding allegation - Facility staff inappropriately handled resident resulting in injury. It is alleged that one of the staff member was squeezing the hand of Resident #1 (R-1), resulting with bruises. Per the Administrator, R-1 moved in on 7/16/22 and left the following day 7/17/22. She stated that new admitted residents get a personal one-on-one caregiver, around the clock, for 3 days to help with the transition. LPA interviewed 2 of the personal caregivers and they stated that R-1 did not want to be at the facility. On 7/16/22, R-1 had attempted to leave the facility by pushing on the front door multiple times. Staff and personal caregiver were able to redirect resident. One of the evening shift staff observed the resident hitting the windows, table, and the door due to not wanting to be there. On 7/17/22, R-1 went to the front door and continuously pushed on the front door. Staff on duty attempted to redirect but were unsuccessful. They stayed with R-1 as resident continue to push on the door until the delayed egress was deactivated. R-1 ran out of the facility where 3 staff followed. All the staff interviewed denied grabbing or squeezing R-1 nor did they observe other staff touching resident. They tried to intervene by verbally redirecting the resident. R-1 safely relocated to the In and Out across the street and did not return to the facility. Based on the information gathered from interviews, there is not enough evidence to support this allegation. 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. An exit interview was conducted with Administrator. A copy of this report along with the appeal rights were provided.