complaint·May 29, 2025

Investigation reveals the following: Allegation: Staff pushed a resident in care The complaint alleges that "staff pushed R1." On 5/29/25 at 11:00am LPA interviewed Administrator (A1) who denied the allegation stating that there has been no reports of staff pushing or hitting a resident in care. Additionally, A1 reported that all staff had training on Resident Rights and Suspected Elder Abuse. On 5/29/25 between 11:30 am and 12:30pm, LPA interviewed 5 residents (R1-R5). Of those interviewed, 5 out of 5 stated that staff have never pushed or hit them. Additionally, 5 out of 5 stated that staff treat them with respect. Lastly, 5 out of 5 residents stated that they feel safe and comfortable living at the facility. On 5/29/25, between 12:30pm and 1:45pm LPA interviewed 4 staff (S1-S4) regarding the allegations. Of those interviewed, 4 out of 4 staff denied the allegation stating they have never hit or pushed a resident in care nor have they witness any other staff push or hit a resident it care. Lastly 4 out of 4 stated to have had Resident Rights and Suspected Elder Abuse training. On 5/29/25, LPA obtained and reviewed copies of staff training : Residents Rights training (dated 6/22/24), and Abuse, Neglect, and Exploitation in a Elder Care setting (dated 4/4/25). Based on the information gathered, there is insufficient evidence to support the stated allegation Page 2 of 3 Allegation: Staff mentally abused a resident in care . The complaint alleges that " staff mentally abused R1, however it was not disclosed how R1 was mentally abused ." On 5/29/25 at 11:00am LPA interviewed Administrator (A1) who denied the allegation stating that there has been no reports of staff mentally abusing a resident in care. Additionally, A1 reported that all staff had training on Resident Rights and Suspected Elder Abuse. On 5/29/25 between 11:30 am and 12:30pm, LPA interviewed 5 residents (R1-R5). Of those interviewed 5 out of 5 stated that staff has never mentally abused them in anyway. Additionally, 5 out of 5 stated that staff treat them with respect. Lastly, 5 out of 5 residents stated that they feel safe and comfortable living at the facility. On 5/29/25, between 12:30pm and 1:45pm LPA interviewed 4 staff (S1-S4) regarding the allegation. Of those interviewed, 4 out of 4 staff denied the allegation stating they have never mentally abused a resident in care nor have they witness any other staff mentally abusing a resident it care. Lastly, 4 out of 4 staff stated to have had Resident Rights and Suspected Elder abuse training. On 5/29/25, LPA obtained and reviewed copies of staff training : Residents Rights training (dated 6/22/24), and Abuse, Neglect, and Exploitation in a Elder Care setting (dated 4/4/25). Based on the information gathered, there is insufficient evidence to support the stated allegation. Although the allegations above 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 allegations are UNSUBSTANTIATED . There were no deficiencies cited during today's visit. Exit interview conducted and report provided for Jenni Gordon, Administrator. Page 3 of 3