Complaint·November 6, 2025

R1 stated that they have never had a problem by being left in a soiled diaper. R1 stated that they wake up in a dry bed and they don’t recall being in soiled pants for over 4 hours. Record review monitoring logs from October 1, 2024, to November 20, 2024, reflected that R1 was changed every 2 hours or as needed for soiled diaper. It is alleged that facility did not ensure that resident was accorded dignity, specifically to hitting R1. Interview with resident stated that facility staff treat them good and treat them with respect and dignity. Record review shift notes revealed that on November 11, 2024, R1 was sent out to the hospital due to R1 being aggressive and agitated, R1 pushing care staff and refusing to get help, unable to control. Monitoring logs from October 1, 2024, to November 20, 2024, reflect that R1 when agitated they hit and push staff and refused to get help. Based on the information mentioned above, the Department is unable to ascertain if the allegations 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 violations occurred; therefore, these allegations are deemed Unsubstantiated. An exit interview was conducted with the Administrator and a copy of this LIC9099 report was left at facility.