Complaint·June 18, 2026

The investigation reveals the following: “Facility staff did not provide adequate supervision, resulting in a resident being attacked by another resident. ”It is alleged that R2 attacked R1 while R1 was exiting the medication room. According to the incident report submitted on 5/16/2026 and the charting notes from FM, the altercation involved R1 asking R2 to move out of the way, and R2 refused to move. R2 pushed and grabbed R1, and R1 almost lost there balance. FM separated both residents. According to the administrator and all staff, R2 usually stays to themselves but is confused and easily irritable. They further stated that this is the first incident in which things have gotten physical involving R2. The police were notified and spoke to both residents. 3 out of 10 residents stated they do not know R2. 3 out of 10 stated they had never witnessed any physical incidents involving R2 but knew R2 to have a temper. They further stated they have heard rumors about R2. 1 out of 10 residents stated they have heard rumors but do not wish to talk about R2 because they are unsure if they are true. 2 out of 10 stated they have witnessed R2 becoming physically aggressive with either themselves or other residents. R2 denied being physically violent with the other residents and stated R1 was trying to control them. After reviewing R2’s file, it was concluded that R2 is not on a 1-1. Based on LPA's interviews, the investigation revealed that, although the allegation may have occurred or is valid, there is not a preponderance of evidence to prove whether the alleged violation did or did not occur; the allegation is UNSUBSTANTIATED. An exit interview was conducted with Administrator Alisa Dean, and a copy of this record was provided.