complaint·February 12, 2025

Regarding Allegation: Staff threatened resident. It is being alleged that staff threatened not to provide showers to residents and evict residents. During the investigation LPAs toured the facility and noted no negative interactions between staff and residents. Records review indicate the following: Physician Report (dated 12/04/2024) indicates that R1’s other condition includes anxiety. Needs and Service Plan (dated 12/10/2024) indicates the facility developed a plan to address R1’s feelings of anxiety, depression and confusion by assisting R1 on areas of confusion and forgetfulness. Interviews indicate the following: Staff S1- S3 denied the allegation. Resident R1 agreed with the allegation. Resident R2-R6 could not answer interview questions due to health issues. Based on interviews, observations, and supporting documentation, the preponderance of evidence standard has not been met. The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. therefore, the allegations of “staff threatened resident” is found to be UNSUBSTANTIATED. Regarding Allegation : Staff did not treat resident with respect. During the investigation LPAs toured the facility and noted no negative interactions between staff and residents. Records review indicate the following: Physician Report (dated 12/04/2024) indicates that R1’s other condition includes anxiety. Needs and Service Plan (dated 12/10/2024) indicates the facility developed a plan to address R1’s feelings of anxiety, depression and confusion by assisting R1 on areas of confusion and forgetfulness. Interviews indicate the following: Staff S1- S3 denied the allegation. Resident R1 agreed with the allegation. Resident R2-R6 could not answer interview questions due to health issues. Based on interviews, observations, and supporting documentation, the preponderance of evidence standard has not been met. The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. therefore, the allegations of “staff did not treat resident with respect” is found to be UNSUBSTANTIATED. Regarding Allegation : Staff harass resident. This complaint alleged that staff harassed R1. During the investigation LPAs toured the facility and noted no negative interactions between staff and residents. Records review indicate the following: Physician Report (dated 12/04/2024) indicates that R1’s other condition includes anxiety. Needs and Service Plan (dated 12/10/2024) indicates the facility developed a plan to address R1’s feelings of anxiety, depression and confusion by assisting R1 on areas of confusion and forgetfulness. Interviews indicate the following: Staff S1- S3 denied the allegation. Resident R1 agreed with the allegation. Resident R2-R6 could not answer interview questions due to health issues. Based on interviews, observations, and supporting documentation, the preponderance of evidence standard has not been met. The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. therefore, the allegations of “staff harass resident” is found to be UNSUBSTANTIATED. No deficiencies were cited. An exited interview was conducted and a copy of this report was provided to Administrator Beulah Soleta (S1)