Incident investigation·May 15, 2025

Licensing Program Analyst (LPA) Steve Chang conducted an unannounced case management visit and met with Director of Wellness Alexandra Matjunas (DW). On 5/13/2025, the Department received a incident report regarding an private caregiver abuse a resident. On 5/14/2025, the Department interviewed a staff on the phone. On 5/15/2025, LPA interviewed DW, resident R1's family on the phone and NextGen Operation Supervisor on the phone. DW stated R1 is an independent living resident. LPA and DW went to tour resident R1's room and to interview R1, R1 refused to have an interview. LPA was unable to enter R1's room. LPA toured another room with similar layout as R1's room with DW. LPA requested R1's physician report, appraisal needs and service plan, and the contract between R1 and NextGeb. The case need further investigation. Exit interview was provided with DW. The report was provided to DW for review and signature. A copy of the report was provided to DW.