complaint·March 30, 2026

Interview with W1 revealed that they had received blood results that were conducted while R1 was in the Emergency room that revealed a diagnosis of a sexual transmitted disease (STD). W1 revealed prior medical records were reviewed and did not indicate any history of STD diagnosis. It could not be determined what prompted the blood test to be conducted, there were no physical symptoms documented that would prompt the test to be run. Interviews revealed no rash or signs of sexual abuse were present. Interview with W1 revealed that lab work may have been conducted so the doctor could gain a better understanding of R1 declining so quickly during the stay in the Emergency room. Interview with W1 explained the condition can be present for many years without producing symptoms. The test performed is not part of standard panel and requires specific screening. Department staff reviewed resident facility files which did not indicate any results like R1. Department staff was unable to interview R1 due to R1 being deceased at time of investigation. Interview with staff 1 and staff 2 revealed there were no rashes or unusual observations made of R1 while under their care. Staff reveal there is no awareness of similar lab results among the residents. Interview with staff revealed that there was an all-female staff and R1 did not engage with any residents in the facility. Although there are male residents, interview revealed most residents are non-ambulatory or stay in their room. Based on interviews with relevant parties, there was not sufficient corroborating evidence to confirm sexual abuse. Based on the evidence, the allegations mentioned above are UNSUBSTANTIATED. A finding that the complaint is UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated at this time. No deficiencies were cited. An exit interview was conducted where a copy of this report was provided.