complaint·February 19, 2026

Allegation: Client sustained an injury (bump on the head) due to staff neglect or physical abuse The allegation alleges that a resident had a bump and bruise to the right side of the forehead and staff were unable to explain how the resident sustained the injury. During the facility inspection LPA was looking to observe or identify any signs of neglect, abuse, or other immediate health and safety threats. LPA observed staff assisting residents from breakfast to either their room or common area and cleaning. LPA observed staff assisting residents with activities of daily living (ADL’s) such as toileting, changing, bathing, grooming, and transferring. Additionally, LPA observed staff going into residents’ rooms to see if they required assistance and asking how they are doing and feeling. During record review, LPA received and reviewed staff’s Relias Transcript that indicate staff have received training regarding Overseeing, Reporting, and Documenting, Recognizing a Change in Condition, and How to Recognize and Report Skin Condition. LPA received and reviewed R1’s Personal Right of Residents (LIC 613C) dated and signed by R1's Responsible Party on 01/30/2026 that states resident’s have the right “to be free from neglect, financial exploitation, involuntary seclusion, punishment, humiliation, intimidation, and verbal, mental, physical, or sexual abuse.” LPA observed Residents Personal Rights posted on a board in the common area. During interviews with Resident’s R2-R5 were asked if they have observed or have any concerns regarding neglect from the staff, four (4) out of four (4) stated they have not observed nor do they have any concerns regarding neglect. During interviews with Staff S1-S5 were asked were asked whether residents are neglected, five (5) out of five (5) stated residents in care are not neglected. Additionally, five (5) out of five (5) stated they have not seen a staff neglect or physically abuse a resident. During interviews with resident’s Responsible Party W1-W3, were asked if they have any concerns regarding neglect, two (2) out of three (3) stated they do not have any concerns regarding neglect. During the course of the investigation, LPA was unable to find evidence to support the allegation(s). Although the allegation(s) may have happened or is valid, there is no preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation(s) is/are unsubstantiated . During today’s visit, LPA did not observe or cite any deficiencies. An exit interview was conducted with Administrator, Jehn 'JM' Maric Demafelix , and a copy of this report was provided.