Complaint·October 3, 2025

9099C-1.. (R1’s) physician’s report (dated 7/10/2025) stated (R1) needs daily assistance with ADL’s due to limited ability to care for self, has limited ability to communicate but can follow simple instructions, and can be disoriented. It was recommended (R1) use a walker to ambulate but was able to ambulate independently. (R1) is also incontinent with bowel/bladder. Allegation: Staff sexually abused a resident while in care. The allegation states that staff (S1) spent more time than usual cleaning resident during incontinent care and inappropriately touched resident (R1). The Department conducted an investigation of this allegation and reviewed documentation, including a report from the local police department. The results of the police department's investigation were: “based on the totality of these circumstances, I believe that staff, (S1), acted within the means of their job and I find there to be no criminal activity", and the case was recommended to be unfounded. Based on the information provided and reviewed, the Department finds the allegation to be UNFOUNDED- A finding of unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis. Allegation: Staff inappropriately pinches a resident. The allegation states that staff (S1) will pinch resident (R1’s) nipples when providing care. Staff (S1) began working at the facility after being fingerprinted cleared and associated on 7/3/2024. The facility was licensed on 5/23/2024. LPA reviewed training documentation showing (S1) had completed required training starting in May 2024, for a related facility and completed First Aid CPR on 3/14/24. In August 2025, (R1’s) family member stated (R1) reported (S1) once touched and pinched their nipple. The Licensee stated on August 16, 2025 that (S1) was immediately removed from this care home and any other related care homes once the allegation was made, until local law enforcement completed their investigation. The licensee stated he has known (S1) to be a good employee and because this facility has the most challenging residents, staff are rotated between multiple homes. (S1) has most recently been assigned to this home and worked with (R1) since 8/4/25. *cont on 9099C-2.. 9099C-2.. The Administrator stated (R1) was taking medication for Schizophrenia and (R1) told the police nothing had happened like the allegation states. The Administrator explained that the police had a language interpreter from their department speak with (R1), and there were no problems with (R1) or the family until resident's two week stay had elapsed. LPA interviewed a current staff (S2) on 10/3/25 who stated they recall (R1) and provided care to them. This staff stated she recalls hearing that (R1) complained to other staff that staff (S1) had pinched them, but (R1) never complained directly to (S2) and there was no redness or other irritation noted or observed. (S2) stated they had a good relationship with (R1) and (R1's) family did not express any complaints about the care. LPA interviewed staff (S1) by phone on 10/3/25. (S1) explained how they filled in on a "pm" shift on a Tuesday or Wednesday (regular day off) when the alleged incident occurred in early August, 2025. (S1) stated they checked on residents every 2 hours for incontinent care, and on this shift, needed to change (R1's) very soiled diaper. (S1) explained they had to use extra wipes and (R1's) sweater/top was also wet, requiring it to be changed. (S1) stated (R1) assisted with changing their top and (R1) was also able to provide incontinent care. (S1) stated they did not pinch (R1's) nipples but may have touched their breast, during the process of changing the sweater/top. (S1) confirmed that (R1) was confused most of the time and would also scream when in the room alone. (S1) stated they turned on the TV for (R1) to watch after changing the diaper and top. LPA spoke to a current resident (R2), on 10/3/25, who indicated (S1) assisted them once or twice last week. (R2) stated (S1) was very helpful and professional when interacting with them. Based on the information provided and reviewed, the Department finds the allegation to be UNFOUNDED- A finding of unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis. Exit interview. Copy of report provided to the Administrator.