complaint·August 5, 2025

Allegation: Facility staff caused injuries to resident in care -Unsubstantiated According to medical records, Resident #1 (R1) sustained a fracture on their finger on their right hand. R1 was bedbound and required a high level of care. Multiple staff were interviewed and stated the injury was present when R1 was admitted to the facility in November of 2024. Administrator observed additional swelling and reported the injury to R1’s Hospice Nurse. Additionally, there was allegations that R1 was found with bruising on their back area. Based on interviews conducted, there was insufficient evidence to determine if R1 had bruising on their back and if any bruising occurred at the facility. R1 stated a male “beat” them. R1 did not identify anyone by name. During the investigation, it was found that there were no male residents residing at facility however, there was a male staff. The male staff was interviewed and denied the allegations of abusing R1 or providing care to them at any time. Multiple staff were interviewed and denied seeing anyone aggressive or inappropriate towards R1. Allegation: Facility staff did not report injuries to resident's responsible person - Unsubstantiated Based on interviews R1 had the injury before they moved into the facility in November of 2024. Facility staff stated that R1s responsible person knew about the swelling as well. Staff does not have documentation of the conservation. LPA cannot prove or disprove if communication was happening between the facility and R1s responsible person. Allegation: Facility staff did not seek medical attention for resident - Unsubstantiated Staff stated they reported to R1’s Hospice Agency when they observed swelling on R1’s finger. Hospice records documented the injury was reported and additional emergency medical attention was not necessary due to R1 receiving hospice care services. Based on this information, these allegations are UNSUBSTANTIATED . Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred, and the findings are unsubstantiated. At this time no deficiencies are cited. Exit interview conducted a copy of the report was left at the facility