complaint·June 19, 2025

R1 also has a history of making false statements, defined as not telling the truth. During their interview, R1 did not disclose any sexual or physical abuse and stated they no longer reside at the facility. R1 stated S2 was “better than” S1. Per R1, S1 once cleaned them towards the end of their stay at the facility, and because S1 did not clean them “right”, they got an infection. R1 stated this occurred a “couple times” but was unable to recall additional times this occurred. During their interview, S1 denied the allegation and stated S2 was the primary caregiver assigned to R1. Per S1, they never assisted R1 independently and only assisted S2 by shifting R1’s weight during bathing, transfers, and diaper changes, which occurred three to five times a day. During their interview, S2 stated they were the primary caregiver for R1, and for the female residents at the facility. S2 stated they, and not S1, would clean and change R1’s diaper, while S1 assisted with shifting R1’s body and weight in order to complete incontinence care. S2 denied S1 ever cleaned or changed R1’s diaper. S2 denied witnessing S1 ever touching R1 inappropriately. During their interview, S3 denied witnessing or having knowledge of S1 sexually abusing R1. Interviews were also conducted with three facility residents. Two of three residents were unable to confirm or deny allegation due to being non-verbal and one of three residents interviewed denied the allegation. Due to allegation being uncorroborated during interviews conducted, the Department is unable to determine if facility staff sexually abused resident. Although the above 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 at this time the above allegation is unsubstantiated. An exit interview was conducted and copy of this report was provided at the end of the inspection.