complaint·April 4, 2025

Caregiver sign-in for month of January. Residents census and resident roster, caregiver staff roster (01/20/25-01/31/25), S4 employee file-caregiver duties and disciplines. Regarding the allegation: Staff physically abused resident, resulting in resident sustaining a bruise. It is alleged that resident #1 (R1) was punched in the arm by a caregiver who changes residents’ diapers during NOC shift. Eight (8) out of eight (8) staff interviewed deny the allegation. All staff interviewed deny physically abusing the R1 or any residents. Nine (9) out of ten (10) residents interviewed were not able to corroborate the allegation. Residents interviewed stated; they have not encountered issues with staff during continence care. Interview with R1 revealed that R1 is does not recall how R1 sustained the bruising. The investigation revealed that S4 recalled an incident that occurred between R1 and S4 on 01/23/25, S4 reported that S4 explained to R1 that the color of the adult brief was the correct size, however R1 did not want S4 to use that color and preferred a different color, which per S4 was the incorrect size for R1. S4 proceeded to change R1 into the correct size adult brief. Per S4, R1 became upset regarding the color of the adult brief that S4 was using to change R1, resulting in R1 hitting S4 with R1’s arms. S4 reported holding up S4’s arms and hands in a cross formation to block R1 from hitting S4 during the altercation. S4 does not recall R1 sustaining any injury during the incident. It was also reported that on 01/26/25, S7 recalls observing R1 with a bruise on R1’s upper inside left arm while bathing R1. S7 recalls R1 reporting that R1 was unsure of how the injury/bruise occurred. Additionally, according to R1’s Physicians Report dated 2/28/23 and R1s Individualized Service Plan dated 09/07/2022, R1 is prone to bruising due to prescribed medications. On 02/03/25 while LPA Vaid interviewed R1, LPA did not observe any visible bruising on R1s arm. The investigation did not reveal any evidence to support that staff physically abused R1 and/or that staff caused R1 injury which resulted in R1 sustaining a bruise. Based on interviews conducted, observations made, and documents reviewed. Although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. Exit interview conducted with Administrator Joel Niblett.