Complaint·January 30, 2026

9099C-1.. Allegation: Staff hit resident. The allegation states that staff (S1) pushed and hit resident (R1). (R1) was observed to have redness on their right cheek when evaluated by a medical professional. The alleged incident was reported to have occurred on a Saturday evening on/around December 27, 2025. Staff (S1) stated resident (R1) was very confused and would often get up at night to use the bathroom. (S1) stated (R1) would use the bathroom in the hallway since their walker would not fit through the bathroom door in their room. (S1) stated (R1) got up around midnight on a Saturday night, on/around December 27, 2025, and walked to the kitchen/dining area and asked (S1) and another staff (S2), "who are you guys- my mom is selling her house". (S1) stated he responded to (R1) that they could talk more about it tomorrow. (S1) stated (R1) began to open many kitchen cabinets and so (S1) asked (R1) if they needed anything, and (R1) stated "water". (R1) willingly returned to their room to go back to sleep. (S1) stated they "never pushed (R1)". (S1) explained the next day a nurse and (R1's) family member visited (R1), who told the story to them that (S1) hit them. (S1) indicated the family member responded that (R1) used to do this at home. (S1) stated on Monday morning, (S1) was sent to their health care clinic, but then told the administrator they wanted to return to the facility and changed their story that it was a female, not a male, that hit them. (S1) Physician's Report (7/18/2025) notes a diagnosis of Cognitive Impairment and is a fall risk. (R1's) family member stated that (R1) is not a reliable reporter, and their story changes- has said it is a male and then a female" that hit her, and shows Sundowning behaviors badly. (R1's) family member stated she went with (R1) to the physician and their cheek was red because they kept rubbing it. A social worker stated that (R1) has "moderate cognitive impairment, is not reliable, as their story kept changing- initially it was a female that hit her" but then told someone else it was a male. The social worker stated that she, (R1) and their family member attended a medical appointment together, following the allegation, explaining that they both observed "very little redness" on (R1's) right cheek and felt it was because "(R1) kept rubbing their cheek". The social worker indicated that it appears (R1) got up at night and insisted to go to the bathroom and may have "tried to push the caregiver", who may have tried to stop (R1) due to them being a fall risk, commenting that (R1) had "no major bruising". **cont on 9099C-2. 9099C-2.. Multiple residents indicated that they have not witnessed any staff yell at or hit a resident. Additionally, all residents stated they feel safe and their care needs are being met. Resident (R2) recalls interacting with (R1) and (R1) being very confused and having hallucinations. Specifically, (R2) stated (R1) would say it's their "mom's house" often. Additionally, (R2) recalls hearing (R1) get up at night to use the bathroom and telling (R2) one time that there were "strange men in the kitchen", and (R2) replied that "they work here". (R2) stated she recalls (R1) pointing to their cheek one time and stating it was "pinkish red" and that they were hit by a staff member. (R2) asserted that she "never heard anything" that would have sounded like a commotion. Staff who were interviewed indicated they have never witnessed staff hit a resident and that (R1's) story changed many times. Staff also stated that if they observed a staff hit a resident, they would call the administrator, report the incident, and/or call 911, if needed. The administrator stated (R1) had the same behaviors here they had at their previous facility, moved out the day after they indicated that a caregiver hit them, changed their story- first said male and then female staff, and thought the care home was their house and wanted to kick out the staff. The administrator indicated (R1) received a medical evaluation following the allegation, and no bruises or signs of abuse were noted. The administrator stated they have never witnessed staff hit or abuse the residents. LPA interviewed (R1) stated they "punched (S1) and started to run but (R1) hit me on the right cheek to stop me from running". (R1) also stated that (S1) told them, "I never hit you- you're imagining things". (R1) provided additional details while recounting the alleged incident, many times, such as "guards" being present in the facility. Based on information obtained, LPA finds the allegation to be UNFOUNDED- meaning that the allegation was false, could not have happened and/or is without a reasonable basis. Exit interview. Copy of report provided