complaint·January 9, 2025

R2 noted they did not report the incident to staff. At approximately 3:00 p.m. on 11/08/24, LPA witnessed R1 walk outside and R2 yell at and attempt to fight R1. Staff intervened before an altercation could occur. Interview with the administrator at 3:30 p.m. on 11/08/24 revealed a resident did report concerns with R1 to the administrator, so the administrator spoke to R1 to remind them of house rule and to respect others. Interview with R1 at 3:15 p.m. on 11/08/24 revealed they had not verbally harassed R2 or any other residents. Interviews with staff and nine (09) out of ten (10) residents today revealed they had not been harassed by or heard of concerns with R1. LPA did not observe any negative behavior from R1 during today’s visit. Based on interviews and observations, the facility provided a comfortable environment to residents in care. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. Regarding the allegation "Facility not following reporting requirements" it was alleged the administrator did not report previous incidents involving R1 and R2. Interview with the administrator revealed R2 had not previously reported any problems with R1. The administrator continued by showing a final written warning for R2 for their behavior and property destruction at the facility. Interview with R1 at approximately 2:45 p.m. on 11/08/24 confirmed that they had not told the administrator about R1’s harassment because they believed the administrator would not do anything about it. Based on interviews and record review, the facility never received a report from R2 and therefore had nothing to report. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. Regarding the allegation "Facility not ensuring resident belongings are safeguarded" it was alleged R1 has a master key to all resident rooms and took resident belongings. Interview with R1 revealed they did not have such a key and have not stolen anything. Interview with the administrator revealed they had not received any repots of stolen items from residents. Interview with Resident #3 (R3) at 12:20 p.m. today and Resident #4 (R4) at 11:30 a.m. today revealed they had items stolen and suspected R1 of stealing them. Eight (08) out of ten (10) other residents interviewed today revealed they had not had anything stolen and did not suspect R1 as a thief. Based on interviews and observations, although some residents may have had items go missing and believe R1 to have stolen them, there is insufficient evidence to verify the allegation. Therefore, the facility is sufficiently safeguarding resident belongings and the allegation is deemed UNSUBSTANTIATED at this time. No immediate health or safety concerns observed during today’s visit. Exit interview conducted. Copy of report provided.