complaint·December 10, 2025

The investigation revealed the following: Allegation 1: Staff physically abused resident On September 9, 2025, Licensing Program Analyst (LPA) conducted interviews with Residents 1- 11 (R1–R11). Resident 1 (R1) reported being physically abused by Staff 1 (S1). Resident 2 (R2) stated they observed S1 handling R1 roughly while providing care and making inappropriate comments that were unrelated to caregiving. Residents 3-11 (R3–R11) reported that they had not experienced or heard of any staff member physically abusing residents in care. LPA attempted to interview Staff 1 (S1), but S1 was unavailable during the investigation. Staff 2-3 (S2–S3) confirmed they were aware of the allegations of physical abuse and inappropriate communication and stated that an internal investigation had been initiated. They reported that S1’s last day of work was September 1, 2025, and that S1 was officially disassociated from the facility on September 9, 2025. Staff members S4, S5, and S6 stated that they did not personally witness S1 physically abusing R1, but they were aware of the incident through hearsay. During the investigation, LPA observed a bruise on the thigh of Resident 1 (R1). However, based on the information available, LPA was unable to determine the cause of the bruise or whether it was related to staff interaction. Based on LPA’s observation, interviews conducted, and records reviewed, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted where this report was discussed and provided to Nathaniel Vezon Administrator at the conclusion of the visit with appeal rights.