Complaint·June 17, 2026

It was alleged that Resident #1 (R1) stated Resident #2 (R2) had made scratches on the wall of their bedroom due to staff not assisting R2 with care. It was alleged that R1’s and R2’s rooms share a common wall. LPA attempted to interview R2 however, R2 was not oriented during the time of the interview. LPA interviewed R1 who stated they had believed that R2 was scratching their shared wall due to a noise but no longer believes this is the case. R1 was unable to identify the origin of the noise coming from R2’s room. R1 stated that staff come to check on residents often when they are in their rooms and are responsive when they pull their call light cord. R2 stated they had no concerns about abuse or neglect for R2. LPA conducted interviews with (2) facility staff who stated that the marks on R2’s wall were caused by lowering and raising R2’s bed rails. Both staff stated they were unaware of R2 scratching their wall for assistance. Both staff stated all residents are checked on every (2) hours and additionally as needed. LPA observed R2’s room on 06/11/2026 at around 11:00 a.m. and observed R2’s bed had bedrails which were lowered and the bed was laid flat which exposed what appeared to be scratches or scrapes on the wall. LPA observed on 06/11/2026 at around 3:00 p.m. R2’s bed rails were raised and the head of the bed was raised which appeared to line up with the markings on R2’s wall. Therefore, based on interviews and observation the allegation is unsubstantiated. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted, and a copy of this report was provided.