complaint·February 9, 2026

(continued from LIC9099, Page 1) Staff interviews revealed that Staff 1 (S1) and Staff 2 (S2) were alerted to the alleged incident on 12/12/25. S2 attested that a caregiver was assisting R1 when they told the caregiver they were sexually assaulted by someone at the facility back in June 2025. S1 notified police of the incident, and an investigation was opened. S2 spoke with family of R1 to notify them that the facility took the accusation seriously and made accommodations to make R1 feel safe at the facility while the investigation took place. Staff 3 (S3), whom sees R1 on a regular basis, stated in an interview that they were not aware of anyone hurting R1 and that R1 rarely leaves their room. Resident interviews revealed that R1 was unable to consistently describe the incident that took place. R1 stated that they believed a facility staff member was responsible for the alleged abuse. Additionally, R1 stated to the investigator they enjoy staying in their room, which corroborated staff interviews. Records review revealed that in a physician’s report dated on 8/31/2025, R1 is currently diagnosed with Major Neurocognitive Disorder. Outside Source interviews revealed that Outside Source 1 (OS1) was with R1 the entire day during the June 2025 event at the facility. OS1 confirmed that no one could have abused R1 during that time and that no such incident occurred. OS1 continued to state to the investigator that R1’s diagnosis had contributed to the alleged event and stated they had no concerns with the facility or that R1 was at risk for being sexually abused by facility staff. Based on interviews, Investigator 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 ED Johnathan Thomas, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.