complaint·July 16, 2025

Interview with R1 at 1:30 p.m. on 06/05/25 revealed the Hoyer lift was “terrible” and did not like to be transferred with it. R1 noted they were only transferred in the Hoyer lift for about a week while recovering from leg pain. Interview with R1’s roommate, Resident #2 (R2) at 1:40 p.m. on 06/05/25 revealed they never saw R1 get injured when transferred. Interview with Staff #1 (S1) at 10:10 a.m. today and Staff #2 (S2) at 10:20 a.m. today revealed they were both trained on how to use the Hoyer lift. Neither S1 nor S2 recalled R1 being hurt from using the lift. Interview with the administrator at approximately 3:00 p.m. today revealed the Hoyer lift was only used with R1 and no other residents. S1 and S2 used the Hoyer lift for about one (01) week, and no incidents of pain were reported from R1. Record review of staff training records revealed S1 and S2 were trained and qualified to use the Hoyer lift. Based on interviews and observations, although the allegation is valid, there is not enough evidence to verify it is true. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. Regarding the allegations “Staff hit resident” and “Staff do not treat resident with respect“ it was alleged S1 and S2 frequently hit and treated R1 with disrespect. Similar allegations of “Staff physically abused resident” and “Staff threatened resident” were investigated on 05/22/25 as part of complaint investigation #31-AS-20250516113423 and found to be unsubstantiated. Interview with the administrator at approximately 2:05 p.m. on 06/05/25 revealed no staff hot or disrespected any residents. The administrator also noted that R1 spoke hysterically and was confused from an infection during the month of May 2025, so reports of abuse may have been caused form confusion. Interview with R1 revealed they denied ever being hit or disrespected by staff. Interviews with four (04) out of five (05) other residents revealed they had not witnessed or experienced abuse or disrespect in the home. Interview with one (01) out of five (05) other residents did not reveal any pertinent information. Interviews with S1 and S2 confirmed that they have treated all residents with respect and never abused any residents. Based on interviews and observations, there is no evidence to verify the allegation is true. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. No immediate health or safety hazards were observed during today’s visit. Exit interview conducted. Copy of report provided.