Complaint·June 27, 2025

(Continued from LIC9099 P1) Management informed that any allegation of resident abuse required an internal investigation and administrative leave for the accused staff. Three of four caregiver interviews revealed that Resident 1 (R1) tended to have combative days, which included claiming that they were being hurt even when no staff were nearby or touching them. Four residents were interviewed, during the investigation including the resident in question. All residents stated staff were nice, treated them well, and respected them. Residents who utilized their pendants stated that staff response times were 15 minutes or less. No residents including R1 stated that staff were rough or treated them without dignity. R1 specifically denied that staff interacted with them roughly or were rude. An outside source familiar with R1 informed that R1 has good days and bad days, which corroborated staff statements. Attempts were made to contact an additional outside source with no response. Records review did not corroborate the allegation. R1's Physician’s Report indicated secondary diagnosis of cognitive impairment. No progress or care notes during the time frame of the incident gave evidence to the allegation. During an unannounced facility visit, LPAs directly observed resident care. LPAs did not observe staff interact with residents in a way that did not honor their dignity or assist residents in a way that was unwelcome. Based on interviews, direct LPA observations and records review, a preponderance of evidence does not exist to prove that the alleged violation occurred, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted with Executive Director Ryan Golze, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.