complaint·October 23, 2025

Regarding the allegation: Facility staff verbally abused resident. It is alleged that staff verbally abused a resident in care by calling the resident degrading names and yelling at them. Four (4) out of four (4) staff interviewed deny this allegation, the staff stated they are all professionals’ caregivers here they do not call the residents names but treat them with respect and dignity, and have never raised their voice at the residents, only raised voice when residents cannot hear them. According to R1’s needs and service plan dated 7/15/24, R1 has hearing problems and needs hearing aid. During interview with R1, they did not wear their hearing device. LPA was made to speak loudly. Four (4) of five (5) residents interviewed could not corroborate this allegation, residents stated the staff does not yell at them nor make fun of their medical condition. Residents stated staff makes them feel safe and comfortable. Based on interviews conducted, records reviewed, and observations made. 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. Regarding the allegation: Facility staff not assisting resident with their ADLs. It is alleged that the facility staff are not assisting R1 with their ADLs (assisted daily living) needs and not providing R1 with a wheelchair and R1 is being forced to walk on their own. Four (4) out of four (4) staff interviewed deny this allegation, staff stated the wheelchair R1 brought with them when they moved in was repossessed by previous skilled nursing facility. Administrator stated new wheelchair was purchased on behalf of R1 by new Home Health agency. LPA observed wheelchair in R1’s room. According to the weekly bathing schedule for month of June 2025, R1 refused to shower nor allow staff to assist R1 with their ADLs. Staff stated they will attempt throughout the day to convince residents to bathe. Four (4) of five (5) residents interviewed stated they are assisted by staff with ADLs and get assisted with walking when needed. Based on interviews conducted, records reviewed, and observations made. 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. Copy of this report was signed and provided to Jane Oriemo, Direct staff Person (DSP)