complaint·February 28, 2026

The investigation revealed the following: regarding the allegation “Facility staff handled the resident in a rough manner.” It is alleged staff handled R1 in a rough manner. One (1) out of five (5) residents interviewed corroborated this allegation. Five (5) out of five (5) staff interviewed denied this allegation. Four (4) out of the five (5) residents interviewed corroborated that they felt staff treat them well and are happy with their care. Staff interviews revealed that R1 has a history of falls, aggressive behaviors and refusal to comply with grooming and toileting assistance. Staff interviews revealed staff try to redirect R1 when they become aggressive and give R1 space before attempting to assist R1 again. During record review, LPA Ramirez reviewed R1’s Unusual Incident Report/Special Incident Reports from 01/2026 through 02/2026. These records revealed R1 had several unwitnessed falls which resulted in some minor injuries that were assessed and treated by staff. None of these records revealed that R1 received an injury due to staff handling R1 in a rough manner. These records revealed that staff contacted R1’s physician and R1’s family regarding these falls. During facility tour, LPA Ramirez over heard resident#6 (R6) and their family expressing their satisfaction with facility staff and the care R6 was receiving. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED . No deficiencies were cited during this visit. Exit interview was conducted. A copy of this report was provided.