complaint·November 4, 2025

It is also alleged that R1 was unprovoked. LPA interviewed two (2) staff that denied the allegation stating on witnessing the incident and immediately de-escalating and separating both R1 and R2. LPA interviewed an additional five (5) out of five (5) staff that all denied the allegation and stated the staff immediately intervene, separate, and re-direct residents whenever they are involved in a physical altercation. LPA interviewed R1 that denied the allegation by stating that R1 did not hurt R2 or anyone by the hallway near the dining hall. LPA interviewed R2 that denied the allegation by stating not being yelled or slapped by R2 by the hallway near the dining hall. LPA interviewed an additional four (4) out of four (4) residents denied the allegation by stating not witnessing the physical altercation between both R1 and R2. However, the four (4) out of (4) residents stated that staff immediately intervene to de-escalate verbal or physical altercations by separating the residents. LPA reviewed ongoing staff training on De-Escalating Dementia Behavior and Residents’ Rights in file. There was insufficient evidence to corroborate with the allegations. Based on statements and interviews conducted with staff, clients, review of client 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 allegations are UNSUBSTANTIATED. Exit interview was held, and a copy of this report was provided to the Executive Director, Stephanie Funderburg.