complaint·March 10, 2026

Interviews conducted with staff members indicated they have seen R1's bruise on the left arm but denied it was caused by neglect. Staff members interviewed indicated they have never physically abused or handled R1 or any of the residents in a rough manner, nor have they seen it happen. Staff members also stated that they have received the necessary training on how to transfer the residents and how to reposition them. S5 stated that R1 has had the bruise on her arm since December 2025 and has taken actions and interventions to prevent the bruising. S5 also indicated that aging causes R1 to have thinner or fragile skin and that the bruise on R1 may have been caused by medication side effects. Some staff stated that on either March 6 or March 7, 2026, the police came to conduct a welfare check on R1 but did not have any information nor contact details provided to them. Documents reviewed revealed that the facility has sufficient staffing and that the staff members have the proper documentation and notes. Moreover, the photos of R1's bruise appeared to be consistent with R1's thin skin and possible medication side effects. During the visit, LPA observed S3 and N1 assisting and transferring R1 from wheelchair to bed. Interviews conducted with (8) residents indicated they have not been hit or handled aggressively by any of the staff. All residents interviewed indicated that staff are well trained, helpful and nice to them. Interview with R1 revealed that the staff are nice to them and they had not been hurt nor injured by any staff. Additionally, R1 does not have a roommate and there were no witnesses, surveillance footage, or evidence obtained during the investigation to corroborate with the allegation. Based on statements and interviews conducted with staff, residents, review of resident files and facility file records, there was not enough supportive evidence to concur with the reported 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 held, and a copy of this report was provided to Donghyun Moon, Administrator.