Complaint·September 14, 2023

R1 returned to the facility the following day. A review of hospital records showed that all scans returned normal. There were no acute fractures noted, and no significant soft tissue swelling was seen. Interviews with residents confirmed that there was a staff person nearby when the incident transpired. Interviews with residents also confirmed the incident and events that occurred were due to behavioral issues. A review of records that the confirmed the staff member was working the day of the incident. Staff contacted the police and an ambulance transported R1 to the hospital and determined there were no serious injuries. Based on the Department’s investigation of the above-mentioned allegation and the evidence obtained during staff and outside source interviews, and records reviewed, there is insufficient evidence to meet the preponderance of evidence standard. Therefore, the above allegation is deemed to be unsubstantiated. The report was discussed, and an exit interview was conducted with administrator Bessie Pascual. A copy of this report along with Licensee/Appeal Rights (LIC9058 3/22) was provided to administrator Pascual at the conclusion of the visit. The signature below confirms the receipt of these documents.