complaint·January 9, 2024

The investigation revealed the following: Allegation: Facility staff did not prevent a resident from being harmed by another resident in care. It is alleged that on 1/2/24 R1 and R2 had an altercation in which staff not prevent. R2 had allegedly spilled coffee on R1. LPA interviewed staff and 5 out of 5 staff denied the above allegation and stated that when there is an altercation they intervene and separate residents, allow time for them to calm down and then management will speak to each resident individually to provide the best care that is needed, if any. 5 out of 5 staff stated that they are aware that R1 and R2 have a history and try their best efforts to keep them separate and keep a close eye on them when they are within the same area. Interview with S1, staff stated that they have offered residents to switch rooms as they both reside on the same floor and to prevent residents from passing by one another a switch of room has been offered, however, neither resident want to switch rooms. S1 further stated that R1 and R2 have had exchange of words in the past but it had never turned physical until now, authorities were called, a police report was taken, and there have not been any further incidents since. LPA interviewed 5 residents and 5 out of 5 residents state they feel staff responds as quick as possible when there is an argument or altercation, although, at times it happens too fast for staff to arrive right away they feel staff does their best with response time. Interview with R1, resident stated they do not want to switch rooms, Interview with R2 stated the same, both parties stated that there were no injuries during altercation. R1 & R2 stated that they avoid each other and keep distance between one another and know that this is the best way to avoid future altercations. Both R1 and R2 stated that since this last incident no othe r incidents have happened and are hopeful that no further incidents will occur as they are staying distant from one another. Based on statements and interviews conducted with staff and residents, review of resident files and incident report, 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 Administrator Claudia Sanchez.