complaint·February 12, 2026

Allegation #1: Staff roughly handled a resident. The complaint alleged that a staff member was rough and impatient while preparing a resident for the morning, pulling on R1's arm and shoulder. On 02/12/2026, between 10:38 am and 11:30 am, the Department interviewed the Administrator (A1) about the allegation. A1 denied the allegation and said that staff are trained to use appropriate techniques to assist residents based on their abilities. A1 mentioned that staff are instructed to contact A1 if a resident appears uncomfortable or in pain and to file a report if a resident reports an injury. A1 stated they were not aware of any caregiver handling a resident roughly to prepare the resident for the morning. On 02/12/2026, between 10:43 am and 11:30 am, the Department interviewed 2 staff members #1-2 (S1-S2) regarding the allegation. Both staff members denied the allegation and stated that they did not handle the residents roughly. On 02/12/2026, between 10:43 am and 11:30 am, the LPA interviewed three residents (R1-R3) regarding the allegation. All three residents denied the allegation and stated that they had never been handled roughly by staff. R1 also mentioned that the staff is very helpful. On 02/12/26, at 11:00 am, the department interviewed a witness (W1), who also denied the allegation that R1 was roughly handled by staff. Report continued on LIC9099C On 02/12/2026, between 10:30 am and 11:30 am, the Department conducted a records review and found no incident reports or resident notes related to this allegation. Based on information gathered through interviews and record reviews, there is not enough evidence to support the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation (s) did or did not occur. Therefore, the allegation is UNSUBSTANTIATED. Allegation #2: Staff do not treat residents with dignity and respect. The complaint alleged that a staff member berated R1 by saying, " Come on, you can get up,” and by pulling R1's paralyzed arm. On 02/12/2026, between 10:30 am and 11:30 am, the Department interviewed the Administrator (A1) about the allegation. A1 denied the allegation and stated that staff are trained to treat all residents with respect. A1 also said that if a staff member mistreats a resident, A1 would retrain the staff member on the resident's rights. Additionally, no residents have ever complained to A1 about not being treated with respect and dignity. On 02/12/2026, between 10:30 am and 11:30 am, the department interviewed two staff members (S1-S2) regarding the allegation. 2 out of the 2 staff members denied the allegation and stated that they treat residents with dignity and respect because the facility is their home. On 02/12/2026, between 10:30 am and 11:30 pm, the Department interviewed three residents (R1-R3) about the allegation. All three residents denied the allegation and said they had never been disrespect or treated without dignity. R1 specifically stated there was no pulling or pushing. On 02/12/2026, the Department also interviewed one witness (W1), who denied the allegation and stated that W1 had never seen staff disrespect R1. On 02/12/2026, between 10:30 am and 11:30 am, the Department conducted a records review and found no incident reports or resident notes regarding this allegation. Based on information gathered through interviews and record reviews, there is not enough evidence to support the allegation. 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. No deficiencies were cited. An exit interview was conducted, and a copy of this report was provided to Administrator Vesna Ilich.