Incident investigation·February 2, 2023

Licensing Program Analyst (LPA) Brian Balisi conducted a subsequent unannounced Case Management - Incident visit to further investigate the incident report received at the Regional Office 01/17/2023. Information on the incident can be found on the initial Case Management - Incident report, which  occurred on01/19/2023. Upon arrival LPA met with Administrator  Brandon Zinkofsky and explained the reason for the visit. On 01/19/2023, LPA conducted initial Case Management - Incident visit and toured facility with Administrator, interviewed staff and residents and reviewed and obtained copies of pertinent documents relevant to the investigation. On 01/30/2023, LPA interviewed family member of Resident 1 (R1). Today LPA conducted physical plant, interviewed Staff 3 (S3), R1,  as well as the  Private Caregiver of R1 and the Hospice nurse of R1. LPA's interviews throughout the investigation  with (3) residents, (5) staff, along with family member, the private care giver and hospice nurse revealed there was not sufficient evidence to prove physical abuse occurred.  All parties interviewed also stated they have never observed any staff physically abuse R1 or other residents in care. The family member, private caregiver and hospice nurse continued to state they each had no immediate or potential concerns of any staff physically abusing R1 or other residents in care at this time. LPA records review of internal investigation conducted by facility revealed there was not sufficient evidence to prove physical abuse had occurred. No immediate health and safety concerns were observed during the visit and no deficiencies cited at this time. Exit interview conducted and report issued.