complaint·October 20, 2023

Continue from LIC 9099 A review of law enforcement incident report indicated that they were not able to establish mistreatment or abuse of R1 based on the information provided. A detailed review of R1’s medical records and service care plan indicated that R1 had a diagnosis of dementia and was prescribed medication to suppress pain and erratic behaviors. Statements obtained by law enforcement, outside sources, and staff regarding the alleged incident during interviews with R1 were inconsistent due to their dementia. During a visit to the facility conducted on October 10, 2023, R1 was not available for an interview. A review of camera footage during the time frame of the alleged incident, seen by outside sources and facility staff did not show any questionable or suspicious activity. The video footage as reported by outside sources and facility staff showed S1 performing incontinence care to R1, as required in R1’s service care plan. The video footage was not available for review during the investigation. A review of S1’s personnel records did not indicate any disciplinary actions or misconduct. During interviews, S1 denied the allegation and stated that they were conducting routine incontinence care following normal procedures as part of their job responsibilities. After the incident, as an extra precautionary measure, facility staff instituted two-person assist for R1 when conducting incontinence care. Based on record reviews and interviews with staff and outside sources, there was insufficient evidence to support the allegation that S1 inappropriately touched R1. The Department has investigated the above-mentioned allegation and based on interviews and records review, the preponderance of the evidence has not been met, therefore, this allegation is deemed unsubstantiated. An exit interview was conducted with Resident Services Director, Jenifer Brown, to whom a copy of this report and the Licensee Appeal Rights (LIC9058 01/16) was provided at the conclusion of the visit.