complaint·July 31, 2025

It was described that S1 was backing out of a resident’s room and unintentionally brushed against R1. S1’s hands were on the supply cart at the time of the incident, and did not push R1 as alleged on 7/7/25. R1 did not fall or mention any pain. Staff immediately apologized when contact was made. Staff interviewed stated the police responded to this situation on 7/9/25 and interviewed the resident and staff. The police determined there was no further action warranted as the incident was deemed accidental and no injuries were observed. LPA interviewed ten (10) residents, and eight (8) feel safe residing at the facility. Eight (8) of the residents have not witnessed any staff pushing a resident and feel that the staff treat them well and are respectful. One (1) resident interviewed feels that staff are targeting them and does not feel safe at the facility. Interview with R1 revealed that the incident could have been accidental and that S1 had apologized. R1 stated the bruise was observed a few days later, and cannot be certain that it derived from the prior incident. Based on the information gathered, there is insufficient evidence to support this allegation. Although the allegation 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 allegation is UNSUBSTANTIATED. An exit interview was conducted with the Assistant Administrator. A copy of this report, along with the appeal rights, was provided.