complaint·August 20, 2024

persuaded R1 to release S1’s wrist. Despite this, R1 continued to display aggressive behavior, swinging their arms, and hitting their hand against the arm rest of the wheelchair. According to hospice records from Salus Hospice, dated April 26, 2024, to May 07, 2024, R1 refused to let the hospice nurse assess or provide care, which led to further combative behavior. A review of R1’s records indicate a history of agitation and combativeness towards staff during activities of daily living (ADLs), resistance to care, and inappropriate behaviors associated with dementia, such as kicking, swinging, and attempts to strike during ADL care. The only record describing R1’s injuries are hospice visit notes for May 07, 2024, indicating patient’s left arm observed with bruising from elbow to hand due to patient banging their hand and arm on the arm rest of wheelchair. Based on the information gathered during the investigation, interviews and review of all documents obtained, the Department is unable to ascertain if the allegation occurred as reported. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, this allegation is deemed Unsubstantiated. This report was reviewed with facility representative, and a copy was furnished to the facility.