complaint·January 30, 2026

Department staff were provided with documentation of care and supervision consistent with R1’s needs. Based on the investigation, there is no evidence that R1’s death resulted from neglect or lack of care and supervision by facility staff. Regarding allegation #2, LPA conducted interviews with residents and staff. Interviews were conducted with six (6) residents. Two (2) residents reported they do not require assistance with incontinence care. Two (2) residents stated that staff provide incontinence care assistance in a timely manner. One (1) resident was unable to confirm whether staff assist with incontinence care. Interviews with two (2) staff members indicated that they assist residents with incontinence care promptly. One (1) staff member noted that residents requiring incontinence care assistance are typically non-verbal. Allegation #3, Resident sustained bruises while in care. It was reported that R1 was observed with a bruise on the arm believed to resemble a handprint. Photos of the bruise were observed by Department staff. The images did not appear to show a hand shaped mark. It was reported that staff in the facility caused the bruise grabbing R1’s arm and later throwing R1 on the bed. Interviews with facility staff and other residents did not reveal any evidence or witness to corroborate physical abuse by facility staff. Based on the investigation, there is no evidence to support the allegation of physical abuse . Based on the information gathered, the allegations were determined to be UNSUBSTANTIATED. An Unsubstantiated complaint means that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted with Executive Director Melissa Buckridge and a copy of this report was provided at the conclusion of the visit.