complaint·December 22, 2025

On 09/12/25 The Department attempted to conduct an interview with R1, but were unsuccessful due to communication barrios. On 09/23/25 The Department conducted interview with witness #1 (W1), and on 10/02/25 The Department conducted interview with staff #2 (S2). The investigation revealed the following: Allegation: Staff did not prevent resident from punching another resident in care resulting in injuries It is being alleged that a resident in care obtained an injury after being punched in the face by another resident. On 09/03/25 The Department conducted interview with S1 regarding the allegation above. S1 confirmed the allegation above, however S1 indicated that R1 and R2 had no prior disagreements leading to the incident. S1 also reported that R2 had no prior history of aggressive behaviors. 09/03/25 The Department conducted interview with R3 regarding the allegation above. R3 confirmed the allegation above, however, R3 report that facility staff arrived quickly to assist. On 09/12/25 The Department attempted to conduct an interview with R1 but were unsuccessful due to communication barrios. On 09/23/25 The Department conducted interview with witness #1 (W1) regarding the allegation above. W1 reported being aware of the incident between R1 and R2 and stated R2 has no history of aggression. On 10/02/25 The Department conducted interview with S2 regarding the allegation above. Per S2, S2 arrived at the dining room when the altercation ended. Additionally, S2 reports there were staff members present and had already intervened by the time S2 arrived. On 12/16/25 The Department conducted a review of R1 and R2 physician reports dated: 11/08/24 and 03/26/25, and R1 and R2 needs and individual service plans both date 2/21/25. Upon review it was observed that neither resident has a documented history of aggressive behaviors or altercations with residents nor staff. 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. Exit interview conducted, and a copy of this report was provided to the Assistant Administrator .