complaint·June 12, 2025

A review of Physician’s Report indicates Resident #1 (R1) has a diagnosis of dementia, is confused/disoriented, wanders and unable to leave the community unassisted, manage resources, manage medications or perform activities of daily living. During interviews with staff, all staff stated they are only acting in the best interest of R1, to protect their health and safety. Staff added in the past they have had a number of incidents involving OP, such as barricading the door to keep staff out, found nude in bed with R1, used condoms in found on the pillow, and inappropriate touching such as having R1 sit on OP’s lap and kissing on the lips. Staff also stated Adult Protective Services has an on-going investigation and recommended supervised visitations for no longer than thirty (30) minutes. Staff #1 (S1) stated resident is allowed to visit for an extended time and unsupervised so long as there is a trusted third person, such as a close family member, in the room with OP at all times. Based on interviews and record review, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. No health and safety hazards noted during the visit. Exit interview conducted. Copy of this report issued.