complaint·September 20, 2024

The investigation reveals the following: In regards to the allegation: “Staff physically abused resident in care.” It is alleged that R1 may have been physically abused by a staff due to bruising, discoloration and swelling observed on R1's right foot. (6) of (6) staff interviewed denied the allegation and stated that they care for the residents and would never harm them. S6 stated that if R1 was stomped on her foot, she would have screamed and other staff could have heard her due to the proximity of her bedroom to the kitchen where staff are present at all times. Based on file reviews and interviews, on 9/07/2024, while R1 was being assisted by S4, R1 was slowly slipping down and was lowered to the floor to sit, no noted injury. The following day, S2 and S6 were assisting R1, when S2 noticed that R1's right foot toes were bruised. Staff reported it to S3 and provided first aid on R1 but no hospitalization required. On 9/09/2024, S1 promptly made a podiatry appointment for R1. And on 9/11/2024, R1 was seen by the podiatrist and had her ingrown toenail removed. Doctor's notes indicated that R1 fell and hurt her foot, with the right big toe being the site of the ingrown toenail. Documentation reviewed revealed that R1 has history of falls and contusion. (4) out of (5) interviewed residents denied the allegation and stated that the staff/caregivers are caring and have never caused harm to them. (5) out of (5) residents stated that they feel safe and comfortable in the facility. During the visit, LPA observed that R1's room is located next to the kitchen where (2) staff members are working. Based on documentation reviewed and interviews conducted with residents and staff, there was not enough supportive evidence to corroborate the 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. Exit interview and a copy of this report was provided to Sister Magdalene Grace, OCD, BSN Care Coordinator.