complaint·April 2, 2024

The investigation revealed that: In regard of the allegation staff slapped resident, it was alleged that facility staff slapped resident while in care. The investigation revealed the following: four (4) out of five (5) residents interviewed revealed staff treated residents nicely with respect and had never slapped them. One (1) out of five (5) residents was non comprehend and unable to be interviewed. Per resident interviews, residents were able to verbalize their needs. Per staff interviews, all three (3) staff denied the allegation. Per visitor interview, it revealed staff were treating residents nicely and did not observe staff hitting or slapping residents. Per file review, residents’ progress notes did not indicate resident had reported being slapped by staff. Staff had in-service training on residents’ right and abuse prevention. Per observation, residents looked fine and had open conversation with staff regarding the care they needed. Thus, there were not preponderance of evidence showing staff slapped resident. In regard of the allegation staff did not report incidents as required, it was alleged that staff did not report resident’s falls to licensing. The investigation revealed the following: three (3) out of five (5) residents interviewed revealed residents had never fallen while in care. One (1) out of five (5) residents interviewed revealed resident had fell twice, uninjured, since moved in. Staff provided immediate care to resident after the falls. Per staff interviews, all three (3) staff stated only one (1) resident had fell since admitted to the facility. Staff provided immediate care to resident after the falls and reported the resident’s falls to administrator and administrator reported the incidents accordingly. Per file review, two (2) incident reports, dated 10/20/23 and 02/13/24, regarding the resident who claimed had fell twice were reported to licensing. Per staff training review, in-service training on reporting incidents was conducted. Thus, there were not preponderance of evidence showing staff did not report incidents as required. Based on the information obtained during the investigation, interviews with staff, residents, review of resident files and LPA's observation, the investigation did not reveal any evidence to support the allegations mentioned above. Although the allegations may have happened or are valid, there is not preponderance of evidence to prove the alleged violations did or did not occur, therefore, the allegation is UNSUBSTANTIATED. An exit interview was conducted with administrator and findings were discussed. A copy this report was provided at the time of visit.