complaint·November 1, 2022

R1 did not remember when or where the stroke occurred. R1’s case manager noted R1 has a history of making false or exaggerated statements. No other residents reported issues with missed medications. Staff #1 (S1) stated R1 would leave the facility for days at a time without explanation. R1 would return drunk or high on drugs. S1 provided medication when R1 was present. Regarding the stroke, S1 recalled the occasion. On the morning of 06/10/2022 at approximately 6:00 a.m. S1 saw R1 sitting outside smoking a cigarette. R1 became rigid and their eyes had rolled back into their head. S1 called an ambulance for R1. Medical records from the hospital showed PCP present in R1’s urine and noted R1 had an ischemic stroke. Record review also showed R1’s history of substance abuse and multiple, consecutive days of missed medication. Based on interview and record review, although the allegation may have happened or is valid, there is insufficient evidence to prove the alleged violation did or did not occur. Therefore, the allegation is deemed UNSUBSTANIATED at this time. Staff caused injury to resident Regarding the allegation above, it was alleged S1 pushed R1 and caused bruising. From interviews, R1’s case manager revealed R1’s tendencies to make claims of physical abuse without any bruising or evidence. S1 denied ever physically abusing any residents, and all residents confirmed. From record review, two police reports were made on 07/14/2022 at 12:20 p.m. and 07/22/2022 at 11:10 a.m. The first report noted “No evidence of elder abuse” and “PR not happy at loc & requesting relocation w/ case worker”. The second report noted “No signs of evidence”. Based on interview and record review, although the allegation may have happened or is valid, there is insufficient evidence to prove the alleged violation did or did not occur. Therefore, the allegation is deemed UNSUBSTANIATED at this time. Staff handled resident in a rough manner Regarding the allegation above, it was alleged S1 put their fingers in R1’s face. From interviews, S1 claimed they never put their fingers around R1’s face. Residents denied being handled roughly by staff. R1’s case manager noted R1’s tendency to make exaggerated claims. Based on interview, although the allegation may have happened or is valid, there is insufficient evidence to prove the alleged violation did or did not occur. Therefore, the allegation is deemed UNSUBSTANIATED at this time. Exit interview conducted. Copy of report and appeal rights issued.