complaint·December 22, 2022

9099C(1)....Resident (R1) was sent to the emergency room on 9/17/2022 due to an "Altered Mental State" and was admitted to the hospital that day. While receiving further medical evaluation, doctors observed "8-10 small petechiae type bruises on the inside of her labia. " The area of the petechiae was alarming and was reported by medical staff. It was later discovered that the cause of the petechiae was a medical condition which causes swelling and irritation to the skin known as "Lichen Planus" and "Pruritis" which causes itchy skin. The local police department conducted their own preliminary investigation which included a SART exam. No foreign DNA was found in resident's vaginal area. Due to no medical evidence being found, it was determined the petechiae was self-inflicted, and the case was closed as "unfounded". Several staff members were interviewed. All interviews concluded that R1 is a 2-person assist with all ADL's and requires (2) staff to assist with providing incontinent care. All staff interviewed stated that no staff member witnessed anyone clean R1 inappropriately and confirmed they are trained mandated reporters and they must report any sort of abuse immediately. Several residents were interviewed or attempted to be interviewed. Residents who were able to communicate their thoughts indicated that the facility is a good place to live, staff take good care of them and they were not aware of any abuse towards other residents taking place. Some residents interviewed were not able to provide any information due to a diagnosis of later stages of Dementia. Based on information obtained through interviews and medical documentation, there is no evidence to support resident's bruising was caused by sexual abuse. Per R1's medical records, the petechiae was caused due to a medical condition; therefore, the allegation is UNFOUNDED- meaning that the allegation was false, could not have happened and/or is without reasonable basis. Exit interview. Copy of report provided to Administrator.