complaint·July 9, 2025

Staff did not treat residents with dignity and respect Regarding the allegation "Staff did not treat residents with dignity and respect" it was alleged S1 yells at residents in a disrespectful manner. Interview with S2 revealed S1 cares for residents but is loud and aggressive. Interviews with Staff #3 (S3) at 12:15 p.m. and Staff #4 (S4) at 12:30 p.m. today revealed they have been treated disrespectfully by S1 and overheard S1 being disrespectful to residents. S3 noted that they reported the issues to the administrator. Record review of S1’s facility file revealed they were given two (02) written warnings for misconduct by the administrator. The first warning was issued on 04/27/22 in which S1 was observed “shouting and verbally abusing” a resident in the shower. The second warning was issued on 02/10/25. The second warning noted that after several warnings, this was to be a final written warning. The warning was issued for “attitude, behavior, and aggressive communications” on 02/07/25 towards a staff and a resident, Resident #2 (R2). Interviews with R2 at 12:40 p.m. and Resident #3 (R3) at 1:10 p.m. today revealed they have both been treated disrespectfully by S1. Based on record review and interviews, multiple residents and staff noted S1’s disrespectful treatment towards residents. The facility is aware of S1’s disrespect and has issued multiple warnings to S1. Therefore, the allegation is deemed SUBSTANTIATED at this time. A deficiency is issued on the corresponding LIC 9099-D page. Exit interview conducted. Appeal rights discussed. Copy of report provided. Staff handles residents in a rough manner Regarding the allegation "Staff handles residents in a rough manner" it was alleged Staff #1 (S1) handles residents roughly while assisting with incontinence care. It was reported that yelling was heard from residents who S1 assisted with changing. Interview with Staff #2 (S2) at 11:00 a.m. today revealed they have not received any reports from residents or staff of S1 handling residents in a rough manner or heard any yelling. Interviews with two (02) other staff members revealed they have not heard yelling or any reports of rough handling from S1. Interviews with seven (07) out of seven (07) residents, three (03) of whom receive incontinence care form S1, confirmed they have not been handled roughly by S1. LPA Reed did not observe any rough handling during today’s visit. Based on observations and interviews, there is no evidence indicating S1 handles or handled residents roughly. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. Staff steal residents belongings Regarding the allegation "Staff steal residents belongings" it was alleged S1 was seen stealing a resident’s clothes and selling them at a yard sale. Interview with S2 revealed they had not been notified of any theft or staff stealing belongings. Interview with S1 at approximately 1:00 p.m. today revealed they have not stolen any valuables from any residents. S1 noted they have only collected used soda cans for recycling which may have caused someone to think they are stealing. Interviews with Staff #3 (S3) at 12:15 p.m. and Staff #4 (S4) at 12:30 p.m. today revealed they have not witnessed S1 steal resident belongings. Interviews with seven (07) out of seven (07) residents revealed S1 has not stolen anything from them. Based on observations and interviews, there is no evidence to suggest that S1 stole resident belongings. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. Exit interview conducted. Copy of report provided.