Incident investigation·December 8, 2025

Licensing Program Analyst (LPA) Melissa Parks arrived on Monday December 8, 2025 to conduct a case management visit regarding an incident that was reported to the Department on 12/2/2025. It was reported to the Administrator on 12/1/2025 regarding an incident that occurred on 11/28/2025. S1 and S2 were assisted R1 with morning care. As R1 was getting out of bed, R1 slapped and scratched S2. S1 let go of R1's arm. S2 was holding R1's arm and bracing the back of their head so they wouldn't fall backwards. Staff were then able to assist R1 with dressing and grooming. The facility reported the incident to R1's POA, Ombudsman, and Sheriffs Department. Facility is currently conducting staff training on the following topics: behavioral expressions, combative behaviors when performing ADLs, and mandated reporting. The facility will provide the LPA with training records when complete. Exit interview conducted. A copy of this report was provided to the facility.