complaint·February 27, 2024

On June 24, 2023, Resident #1 (R1) and Resident #2 (R2) were involved in an altercation as documented on the Incident Report dated July 7, 2023. It was also noted that R2 pushed R1 off their wheelchair. Per review of the incident report, R1 was assessed, and no injuries were sustained. Interviews revealed that four out of the four residents and seven out of the seven staff were aware of the altercation between R1 and R2. However, only one out of the four residents and one out of the seven staff indicated that R1 suffered bruising related to the fall. Therefore, based on the interviews and the records that were reviewed, 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 following allegation: Resident was injured by a resident in care is deemed UNSUBSTANTIATED. An exit interview was conducted with Chief Operating Officer Faye Shen, and a copy of this report including the LIC9099C, and the LIC811 were provided at the end of the visit.