complaint·December 18, 2025

On 11/19/2025, LPA Huynh conducted a subsequent visit. Between 10AM and 10:40AM, LPA Huynh conducted a physical plant tour, interviewed the Administrator, one (1) staff, two (2) residents, and attempted four (4) resident interviews. Beginning at 11:09AM, the LPA conducted a medication review. During today’s visit, the LPA and Administrator conducted a physical plant tour at 12:28PM, and no immediate concerns were observed. The following was then determined: Allegation: “Staff physically assaulted resident which resulted in injuries” It was reported that facility staff physically assaulted Resident #1 (R1), allegedly resulting in lacerations and bruises. Interview with four (4) residents revealed that staff treat them respectfully and meet their care needs. They denied experiencing physical abuse and stated they had not observed staff mistreating R1. Staff were observed to assist R1 with showers, feeding, and incontinence care. R1 was unable to participate in an interview due to medical condition. Interview with staff stated they provide care in accordance with residents’ care plans and requests for additional accommodation. They confirmed they do not yell at the residents, though they raise their voices when communicating with residents who are hard of hearing. Staff further reported they do not become frustrated or physical with residents. Physician’s Report dated 02/04/2025 documented R1 to be non-ambulatory with bed bound status and a diagnosis of Huntington’s Disease. Hospice Care Plan initiated on 06/16/2025 indicated R1 remained bed bound and received two (2) Home Health Aide visits per week. R1’s Appraisal/Needs and Services Plan dated 01/28/2025 reported R1 had limited functioning and required full assistance with activities of daily living. Based on interview and record review, although the allegation may have happened or is valid, there is not sufficient evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed UNSUBSTANTIATED at this time. No deficiency cited. Exit interview conducted. A copy of the report was reviewed and provided.