complaint·January 28, 2026

In regards to the allegation that " Staff pushed resident in care," it is alleged that on 11/20/2025, R1 was pushed into a wall by S4 when they were being assisted with being transferred out of bed which caused a skin tear on R1's arm. During interviews with the residents, eight (8) out of nine (9) did not corroborate the allegation. One resident interviewed stated that they have not been pushed by any of the staff members in the facility. Another resident interviewed stated that while they have also not been pushed by any staff member in the past. During interviews with the staff, none of them corroborated the allegation. S4 stated that they are utilizing a buddy stem with fellow caregivers to avoid the rough handling of residents when transferring them out of bed. Other staff denied that R1 was handled roughly and noted that they have thin fragile skin which led to the tear during transferring R1 to a hoyer lift. In regards to the allegation that "Staff yelled at resident in care," it is alleged that R1 had been yelled at by staff members in the facility. During interviews with the residents, seven (7) out of nine (9) interviewed did not corroborate the allegation. One of that staff have never yelled at them or said anything inappropriate to them. During interview with another resident, they stated that they also have never been yelled at in the facility by any of the staff members. During interviews with staff members, none of them corroborated the allegation. One staff member stated that they never yell at residents and treat all of them respectfully. All other staff members stated that they have never witnessed any staff yelling at residents in the facility. During tour of the facility, LPA did not observe any staff members yelling at residents in the facility. 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.