complaint·October 29, 2024

Administrator stated they had not heard about a staff refusing water to a resident, and stated staff never refuse water. Administrator noted one resident always like to drink water, and they place bottled water in resident’s rooms. Staff interviewed stated they had not observed staff refuse water to any clients, and stated “we give clients what they ask for.” Clients in the home were interviewed, and were unable to provide feedback on their care. LPA interviewed a credible witness, who stated at the time of this complaint they had not heard of staff not providing clients water. 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 at this time. On the allegation: Staff are handling resident(s) in a rough manner while in care. It was alleged on 7/30/2023, S1 bragged about dragging C1 out of another client’s room by their feet, from a distance from the bed to the doorway. Allegedly, S1 stated no matter what they do, the facility will not fire them. A credible witness also spoke with staff, who indicated C1 sometimes needs assistance leaving other client’s rooms, but is compliant when escorted out by staff. All staff denied rough handling to the credible witness. ED stated they reviewed video footage in the facility for dates 8/3/2023 through 8/9/2023, and did not observe anything concerning and no indications on the video footage C1 was dragged. However, ED observed footage that another client (C3) tripped on 8/30/2023, put their hand out on a door jamb, and dislocated their finger, even though staff were right behind C3. Staff interviewed stated they had never witnessed staff pulling a client or handling a client in a rough manner. Staff stated if that were to happen, they would report it to a lead or supervisor, and create documentation or an incident report. Clients in the home were interviewed, and were unable to provide feedback on their care. LPA interviewed a credible witness, who stated at the time of this complaint they had not heard of staff handling residents in a rough manner. 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 at this time. Continued on 9099-C On the allegation: Facility did not report alleged abuse. It was alleged the behaviors of S1 were reported to facility Human Resources (HR) and management, but the alleged abuse was not reported. Administrator stated they were not aware of any abuse in the facility, and do not believe any rough handling occurred. Administrator stated staff would report the abuse. Staff interviewed stated they had never witnessed staff pulling a client or handling a client in a rough manner. Staff stated if that were to happen, they would report it to a lead or supervisor, and create documentation or an incident report. Administrator stated S2 was not caring about the quality of care and they were let go after another staff reported the performance issues. On this complaint, there was insufficient evidence to substantiate that abuse occurred, and therefore insufficient evidence to prove it was not reported. 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 at this time. Exit interview, report given.