complaint·November 24, 2025

Based on interviews with the residents, seven (7) out of nine (9) did not corroborate the allegation. One of the residents interviewed explained that none of the staff have ever handled them in a rough manner in the past. Another resident stated that they have not witnessed staff pushing or handling residents roughly, and that staff treat them with dignity and respect. During interviews with the staff, four (4) out of four (4) did not corroborate the allegation. One staff member who was present during the incident explained that they had been assisting R1 with transferring to their wheelchair in the morning, and did not observe or notice any injury to R1 while they were assisting R1. Another staff who was present at the time of the incident stated that they did assist another staff with assisting R1 into a hoyer lift, but did not directly observe any staff handling R1 in a rough manner. Based on statements and interviews conducted with staff, residents, review of client files and facility file records, there was not enough supportive evidence to concur with the reported allegations. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED . Exit interview held, and a copy of this report was provided.