complaint·December 4, 2025

Interviews conducted with 7 staff revealed staff have not been aggressive with residents while in care. Interviews with residents revealed staff treat them with respect and have not hurt any residents. Interviews with staff revealed staff have not observed staff mistreating residents in any way. Staff treat residents with respect. Resident rights training was provided on 7/19/24 to staff. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED. Regarding allegation: Staff did not report an incident between residents. It is alleged incident between R1 and resident #2(R2) was not reported to the proper agencies. Interviews with residents revealed 4 out of 6 residents have not observed incidents between residents. 2 out of 6 residents were not able to respond due to cognitive skills. Interviews with staff revealed staff intervened when residents begin to show behaviors by redirecting the residents into an activity. If incidents between residents are observed the caregiving staff reported to the nurse and the nurse follows protocol to report to the proper agencies and responsible party. Document review revealed on 11/1/24 an incident report was submitted to the department to report an incident between two clients. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED . Exit interview was conducted with Shannon Moore and a copy of this report was provided.