complaint·August 28, 2023

The Department’s investigation consisted of record review, interview of staff, and interview of R1’s Power of Attorney (POA). LPA found that R1 was not able to be interviewed due to passing away in September 2022. Record review indicated that R1’s behaviors escalated during the month of 2/2022. A facility progress note dated 2/22/22, indicated that R1’s delusions were centered around R1’s belief that the staff were poisoning residents and R1. Resident also had flashbacks of a sexual assault that R1 suffered in R1’s past. R1 had psychosis with symptoms that included bizarre behavior, thought disorder, illogical reasoning, paranoid delusions, and paranoid manner. Interview with POA indicated that POA visited R1 daily, and never witnessed any misconduct to R1 by staff or other residents. Additionally, POA mentioned that R1 had a diagnosis that made R1 extremely paranoid and would often imagine unrealistic events. Staff interviews corroborated POA’s statement in R1’s behavior. Due to the time lapse, no other information could be revealed in this case; therefore, at this time, this allegation was Unsubstantiated. The Department could not dismiss the complaint. A finding of UNSUBSTANTIATED means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted where a copy of this report was discussed with and provided along with a copy of the LIC811 (confidential names list).