complaint·December 11, 2024

A relevant party reported to the Department that staff member (S1) handled resident (R1) in a rough manner, was not treating R1 with dignity, and broke R1's wheelchair. Interview with relevant party indicated that they did not personally witness these allegations but was told about the allegations after speaking with R1. Relevant party also stated that S1 was witnessed to appear as if they had just woke up before answering the front door. Relevant party stated that they did not personally witness the incident in which S1 answered the front door. Interview with R1 confirmed the allegations addressed in the complaint regarding S1. However, R1 stated that S1 slept at night when the other residents were asleep. Interviews conducted with residents (R2 and R3) indicated that the knew both R1 and S1 and stated that they never witnessed any of the allegations addressed in the complaint or experience any of the allegations addressed in the complaint. R3 stated that they thought S1 did a good job at the facility and did "above and beyond" in regards to providing care to the residents. Interviews conducted with staff members (S2 and S3) and Licensee indicated that they never witnessed any of the allegations addressed in the complaint. S2 stated that they knew both R1 and S1. S2 stated that S1 taught them a lot about the residents and S2 never witnessed anything offensive to make S2 question S1 as a caregiver. Interviews conducted with residents R2, R3, R4, and R5 indicated that they feel they are treated well by facility staff and their care needs are being met at the facility. R1's Admission Agreement indicates that R1 was admitted to the facility on 3/16/2024. R1's hospice records indicate that R1 was admitted to hospice services on 3/16/2024. A review of R1's hospice records did not indicate any additional witnesses regarding allegations addressed in complaint. Interview with representative from R1's hospice agency indicated that they did not witness the allegations addressed in the complaint. Hospice records indicate education was provided to S1 regarding transfer assistance to R1. Hospice records indicate R1's sustained an unwitnessed fall on 4/23/2024, in which paramedics assisted R1 back into their wheelchair with no injuries reported. ** Report continued on 9099-C ** Based on interviews conducted and records reviewed, the preponderance of evidence standards have not been met. Therefore, the above allegation is found to be UNSUBSTANTIATED. A finding that a complaint allegation is unsubstantiated means that, although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Exit interview was conducted with Licensee. A copy of this report was provided. Signature on these forms acknowledges receipt of these documents.