complaint·April 16, 2026

W1 provided their email account to AD that stated that something drew their attention to S1 and got the impression that S1 spoke to R1 roughly. W1 informed AD via email that they observed S1 pummeling R1s back and shoulders as though playfully, good natured, or mock aggression once S1 saw W1 look over. Witness #2 (W2) informed LPA that W1 informed them that they did not actually see an incident occur between S1 and R1, but saw S1 pummeling/massaging R1s back and found it disturbing. Witness #3 (W3) informed LPA that they had no concerns of R1s care and was at the facility every day to check on R1. W3 informed LPA that they do not believe the incident occurred as reported and had no complaints regarding R1s care. W3 informed LPA that they spoke to facility staff and confirmed that the AD informed them of the alleged incident verbally. LPA interviewed staff and 5 of 5 staff denied the allegations. LPA interviewed 6 residents in care and 2 of 6 residents informed LPA that they have never been harmed or yelled at by facility staff. 4 of 6 residents did not confirm or deny the above mentioned allegations. LPA was unable to view video footage at the facility due to it already being recorded over. LPA was unable to interview R1 due to no longer residing at the facility. LPA reviewed staff training for S1 and observed personal rights training was last conducted on August 18, 2025. The investigation into the facility allegation of staff did not follow reporting requirements revealed the following: It was alleged that staff did not cross report an alleged incident that occurred. The SOC341 was submitted to LPAs email inbox on January 30 th 2026, stating that on January 23 rd , 2026, they were informed of an incident where S1 was handling R1 in a rough manner. LPA interviewed AD and informed LPA that they sent an SOC341 to licensing and the Ombudsman and notified R1s family. AD was unable to verify when they sent the form to the ombudsman. LPA interviewed Witness #4 (W4) and informed LPA that they did not receive an SOC341 from the facility regarding the incident that occurred. Continue on LIC9099C Based on information gathered and interviews conducted, the Department is unable to ascertain if the above allegations occurred as reported. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, the allegations are deemed UNSUBSTANTIATED. An exit interview was conducted and a copy of this report was left at the facility.