Complaint·July 13, 2023

Police were called due to the incident. LPA reviewed the police call logs and event documentation related to the incident. Records reflect that neither party was arrested as a result of the incident. At the time of this incident, R2 did not have a Dementia diagnosis but was demonstrating confusion and agitation. Records reflect that officers did not take R2 to an emergency psychiatric facility for evaluation. Facility staff contacted R2’s primary care physician and responsible person. R2's responsible person contacted R2's PCP to request a psychiatric evaluation. On this same day, R2 was evaluated and diagnosed with Dementia. Documentation related that nurses at the facility evaluated R1 and R2 and neither was observed to have any physical injuries. R2 later transferred to a Memory Care facility and R1 remained at Canyon Villas. Both residents lived in the Independent Living portion of the facility and shared an apartment. Because the incident occurred in their apartment there were no witnesses present. Interviews indicated that there was no lapse in supervision as R1 was receiving assistance at the apartment . Interviews related that staff generally have 10-12 interactions with residents receiving care during a 24 hour period. Interviews and records did not show any other emergencies occurring on the same day of this incident. Interviews also note that there were no previous similar incidents between the residents. Records reflect that once R1 reported the incident to the facility, staff reacted and assisted the residents. Appropriate notifications were sent to law enforcement, resident's responsible person, and the resident’s physicians. Once it was determined by evaluation and re-assessment that R2 required a higher level of care, the facility coordinated a transfer to a memory care facility. The Department has investigated the allegations, which included LPA observation and facility and outside source record reviews. Due to a lack of corroborating evidence obtained during the investigation, the allegations are Unsubstantiated. This finding means that although the allegations may have happened or may be valid, there is not a preponderance of evidence to prove they occurred. An exit interview was conducted with Ms. Boller, and a copy of this report was provided to Ms. Boller, whose signature below confirms receipt of copies of this report and Licensee Rights (LIC 9058).