complaint·February 3, 2025

It was alleged that a resident was hit by another resident and no injuries were sustained. LPAs inspected the facility, conducted health and safety checks on residents, and observed no health and safety issues. LPAs interviewed AD who stated that on January 11, 2025, R1 was agitated and aggressive in the memory care unit, R1 was taken on a walk through the assisted living section by Staff #1 (S1) to calm down, an altercation allegedly occurred between R1 and Resident #2 (R2) in the assisted living section, and R1 was redirected back to the memory care unit. However, AD did not witness the alleged altercation. LPAs interviewed S1 who denied there was an altercation between R1 and R2 and stated that on January 11, 2025, S1 was holding R1’s hand while taking R1 on a walk through the assisted living section and R1 accidentally bumped into R2 while they were walking by R2, R1 was not aggressive, there was no physical or verbal altercation, and the bump was minor and did not lead to any injuries or falls. R1 is no longer at the facility. LPAs interviewed R2 and another resident who witnessed the alleged incident who did not corroborate the allegation. LPAs interviewed six other residents and did not obtain information corroborating any concerns about safety, staffing, or care and supervision. LPAs reviewed R1’s Individualized Service Plan dated December 10, 2024, the facility’s recent communications with R1’s doctor, and the facility’s progress notes for R1 which indicate that the facility has been working with R1’s doctor and family to address R1’s behaviors. The information obtained showed that the incident did not occur as alleged and that instead R1 accidentally bumped into R2. The Department has investigated the above allegation and found it to be Unfounded, meaning the allegation was false, could not have happened, or is without reasonable basis. An exit interview was conducted and a copy of this report was discussed with and provided to facility representative.