complaint·October 22, 2025

Regarding the allegation staff hit a resident in care. There were no witnesses or documentation indicating that any staff physically harmed the resident. The facility reported the resident often exhibited aggressive behavior due to dementia, but staff utilized de-escalation methods and denied using force. The DPOA reported visiting frequently and expressed confidence in the care provided. Medical documentation showed no injury pattern consistent with assault. Law enforcement found no evidence of abuse when contacted. 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. Regarding the allegation staff did not dispose of residents’ diapers. Facility staff denied failing to dispose of diapers and stated that soiled briefs are immediately placed in designated waste bins. The DPOA reported that the facility maintained cleanliness and had no concerns about hygiene. No supporting documentation or witness statements corroborated the allegation. Due to the resident’s passing in July 2025, direct observation was not possible, and no evidence was located to support that neglect occurred. Although the allegation may have occurred 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. Regarding the allegation Staff are not allowing a resident to receive phone calls. Interviews were conducted with the Resident Service Director and the Durable Power of Attorney (DPOA). The facility Resident Service Director stated facility Medication technicians reported when Reporting Party called the facility it was mainly to yell at the medication technicians and Reporting Party would not even ask to speak to Resident 1. Resident Service Director stated facility staff never intentionally denied Resident 1 from speaking to Reporting Party. There was no evidence that staff isolated the resident. Although the allegation may have occurred 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. No deficiencies cited Per Title 22 Regulations. Exit interview conducted with and a copy of this report provided.