complaint·September 30, 2025

LPA’s file review indicated R1 was admitted to the facility in April 2023, placed under hospice care in August 2023, and moved out on 12-06-2023 to another facility. R1 passed away in September 2024. R1 was the only resident at the time of the alleged abuse. During the investigation, LPA interviewed R1’s relevant party, who relayed a disturbing account allegedly shared by R1 that S1 had dragged R1 across the floor from the bathroom to the bed, forcefully thrown R1 onto the bed, and slapped R1 multiple times after a fall near the toilet. LPA attempted to interview two (2) staff members from the hospice agency, but it was unsuccessful. R1 had a roommate, but that person passed away in October 2023, so no interview was conducted. LPA conducted interview with two (2) staff members including S1, both of whom denied the alleged physical abuse took place. LPA learned there was a police report generated from an incident that occurred on 11-25-2023 related to R1. LPA obtained and reviewed the police report from Indio Police Department. The information obtained from the police report did not contain supportive evidence to corroborate the allegation. Based on records review and interviews conducted, the allegation that staff physically abused resident in care is unsubstantiated . A finding that the complaint is UNSUBSTANTIATED means the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted, and a copy of this report was provided.