Incident investigation·October 8, 2025

Licensing Program Analyst (LPA) Manuel Monter conducted an unannounced Case Management - Incident visit to follow up on the visit conducted on September 26, 2025. LPA met with Administrator Chelsea Chanduloy. On September 25, 2025, the Department received a report which stated on October 18, 2024, staff S1 had pushed R1, one time, causing R1 to fall from his/her walker and onto the ground, resulting in a laceration to R1's head. S2 stated he/she heard a verbal altercation coming from the hallway. S2 stated when he/she went to see what had occurred, he/she saw R1 down on the ground and bleeding from his/her head. S2 stated he/she went to help R1 but S1 pushed S2 to the ground with two hands. The purpose of the visit is to hand deliver an immediate exclusion letter for an individual (S1) who the Department determined engaged in conduct inimical as a staff in the facility. The letter was sealed and handed to Administrator Chelsea Chanduloy No deficiencies cited during todays visit. This report was reviewed with Administrator Chelsea Chanduloy and a copy of the report was provided.