Incident investigation·January 28, 2026

On January 28, 2026, Licensing Program Analyst (LPA) Komal Curley conducted an unannounced case management visit in relation to an incident that occurred on 1/17/26. LPA met with Administrator, Anne Buerhaus and explained the purpose of the visit. The Licensee reported on 1/17/26 at around 1:00am, Resident 1 (R1) told the med-tech while doing round that, he/she was sexually assaulted by staff. No injuries were noted. All required parties were notified. Facility conducted an investigation. During the visit, LPA discussed the incident with Administrator, Health Services Director, Memory Care Director, attempted to interview R1, and reviewed R1's file. Based on R1's file reviewed, R1 has a diagnosis of dementia and metabolic encephalopathy . In addition, based on staff interviewed and records reviewed, R1 does not have any prior incidents at the facility making allegations like this. LPA attempted to interview R1 during the visit, however did not respond to LPA due to dementia diagnosis. R1's responsible party was present at the facility during the visit. According to R1's responsible party interviewed, R1 is very happy at the facility and the staff are really great. In addition, R1's responsible party indicated that R1 has a history of making allegations like this and it might be happening more due to R1's dementia diagnosis. No citations are issued during the visit. Report is reviewed with Administrator and a copy is provided.