Complaint·January 29, 2026

Four out of the five former and current staff added R1 punched a staff member while the staff member was assisting with a shower. Administrator AD Andreea Moldovan stated R1 moved away from the facility October of 2023. Interviews with two out of six residents stated their needs are being met and have never been spoken to inappropriately by staff. The remaining residents could not be qualified for interviews. Record review revealed R1 was diagnosed with a schizoaffective disorder and a mild cognitive impairment. Four out of four current staff have completed personal rights training. Three out of four current staff have signed mandated reporter acknowledgements. Regarding the allegation staff left resident in soiled clothing for an extended period of time, it was reported R1 was left soiled in a diaper for a period of time. Interviews with five out of seven former and current staff stated residents are checked for incontinence care needs two to three times per shift or more as needed. One out of those five staff stated R1 was able to communicate their needs when needing to use the bathroom. The remaining two staff did not add anything relevant to this allegation. Interviews with two out of six residents stated they get assistance with incontinence care. The remaining four residents could not be qualified for interviews. Record review revealed R1's physician report stated R1 could communicate needs. Based on resident interviews, staff interviews and records observed, the allegations of staff asked resident inappropriate questions and staff left resident in soiled clothing for an extended period of time are therefore deemed unsubstantiated meaning that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted and a copy of the report was left with the facility representative.