complaint·April 9, 2026

(Continued from Page 1) Shower logs and staff assignments records reflect that S1 did not provide care, including bathing assistance to R1 on the alleged dates. Documentation shows that R1 refused a scheduled shower on 9/23/2025 when assigned staff attempted to provide care. A review of records revealed no injuries or findings consistent with sexual abuse, and no evidence, witness statements, or independent information were obtained to corroborate the allegation. Interviews with facility staff and residents, including R1 and R1’s family members, there is insufficient evidence to support the allegation of sexual abuse. Regarding the allegation Staff handled resident in a rough manner. It was reported that Staff #2 (S2) on 9/7/2025 and 9/8/2025 S2 improperly tried to pull R1 out of bed, injuring R1’s shoulder. Facility records revealed that S2 did not work on 9/7/2025 and 9/8/2025, a review of medical records for R1 had a fall on 9/1/2025 at 0400 hours at the facility and was treated at the ER for Right foot fracture; left ankle sprain while attempting to ambulate to the bathroom. On 9/7/2025 R1 had an Emergency Room follow-up related to severe diarrhea. Interviews conducted with staff, residents, including R1 did not corroborate the allegation that staff handled R1 in a rough manner. Records further reflect that R1 experienced a significant decline in physical and cognitive condition during the relevant period, including multiple falls, decreased mobility and neurological complications requiring a higher level of care. Based on the inconsistencies in R1’s statements, lack of corroborating evidence, absence of physical findings, and the documented staff assignments, the allegations is deemed Unsubstantiated. The preponderance of evidence standard has not been met. Therefore, the above allegations are found to be Unsubstantiated. An exit interview was conducted with Rance Leth and a copy of this report along with LIC811- Confidential Names list was provided.