complaint·March 21, 2026

In addition, LPA reviewed Resident 1’s records, including progress notes, admission records and the physician’s report, and did not identify any information supporting the allegation. Regarding the allegation, “Staff handled resident roughly causing a bruise,” LPA interviewed five staff members and attempted to interview five residents. All five staff members denied the allegation and stated that staff do not handle residents in a rough manner. The residents were unable to provide reliable statements due to their current medical and cognitive condition. LPA also conducted a phone interview with Resident 1’s responsible party, who denied the allegation and stated that facility staff were helpful during R1’s stay. R1’s RP further reported that Resident 1 had fallen from the bed and that facility staff immediately arranged for Resident 1 to be sent to the hospital for evaluation. Facility records also showed that a Special Incident Report was submitted regarding an unwitnessed fall that occurred on February 24, 2025. The records further showed that Resident 1 was transported to the hospital, later discharged without serious injury, and placed on a 72-hour observation period by the facility. Based on interviews, observations, and record review, the Department was unable to determine that the allegations occurred as reported. Although the allegations may have happened or may be valid, there is not a preponderance of evidence to prove or disprove that the alleged violations occurred. Therefore, the allegations are deemed unsubstantiated. An exit interview was conducted Executive Director (ED) Patricia Miller and a copy of this report was provided.