Complaint·January 29, 2025

Complaint alleges that facility staff punched resident in the face. According to the Reporting Party, R1 was attacked by staff on two separate occasions. Based on interviews and document, R1 was admitted to the hospital but no documentation of R1’s injuries could be obtained. Through the course of the investigation, it was learned that R1 had assaulted staff on one of these occasions. Additional details could not be obtained on either attack such as date, time, place, assailant, etc. Furthermore, it is unknown whether R1 was the assailant or victim as no injuries were sustained. Regarding the allegation, that facility staff do not dispense medications as prescribed, LPA reviewed documents and interviewed staff. According to the reporting party, the Facility did not get a resident’s medication on time and the resident had to wait 30 days. Reporting party states that one resident’s medication consistently went missing.Record reviews showed that medications were given on time and that no medications were missing for R1. Regarding the allegation, that facility staff do not ensure the facility is free of hazards, LPA toured the physical plant. According to the reporting party, the facility has electrical outlets with open wires, a ramp outside that has holes, and a bathroom has a towel rack where a grab bar should be installed. Based on observations, none of these hazards are present. Complaint alleges that there is no night supervision staff on duty that stays awake. Per Reporting Party, staff are not awake and asleep in the Executive Director’s office. Based on document review, the facility does have awake night supervision staff. Through interviews, LPA learned that the Administrator’s office is locked in the evenings and night supervision staff are unable to access it. The Agency has investigated the above allegations. The allegations are UNSUBSTANTIATED meaning that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. This report was reviewed with Ricardo Aban, Executive Director and a copy of the report left at the facility.