Incident investigation·November 25, 2025

On 11/25/2025, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced case management - incident report visit. LPA met with the executive director Holly Suiter and explained the purpose of today's visit. On 11/14/2025 the Department received an incident report regarding a resident that was observed to be abused by a med-tech on duty. The resident slid from their wheelchair and the med-tech pulled the resident's hair as the resident was on the floor. This abuse was caught on camera and was brought to the attention of the business office director on 11/03/2025 by another caregiver that witnessed the abuse. The hair pulling took place on 10/29/2025 and was caught on camera. Facility leadership reviewed the camera footage and confirmed the staff person's action via the footage. Facility leadership, the administrator and business office director, met with the staff person and addressed the incident observed via camera footage. The staff person denied the allegation despite the camera footage evidence and left their position as med-tech voluntarily on 11/04/2025. The facility terminated the med-tech and has not returned to the facility for work duties since 11/04/2025. Due to the age of the incident, there is no signs of injury to the resident. The resident resides in the memory care portion of the facility. An assessment of the resident was conducted and there were no visible signs of injury. The resident was not sent to the hospital. The facility is being cited for personal rights due to the med-tech's abuse as it is an immediate health and safety concern for the resident in care. Citation issued on the following LIC809D. Report is discussed and a copy is provided to the executive director.