Complaint·December 15, 2024

Based on interviews conducted, it was learned that R1 was involved in an incident around July of 2023. It was learned that R1 was having an episode of aggression and behaviors related to R1's cognitive issues. It was learned that R1 did not want to cooperate with staff who were trying to change R1 since R1 was incontinent of bowel and bladder requiring R1 to wear depends. It was learned that R1 became even more agitated and started to use R1's hands, arms, and head to hit the floor. It was learned that it was from these actions performed by R1 which led to the abrasions and lacerations on R1's arms and hands. It was learned that facility staff called for assistance when it was discovered that R1 was starting to escalate in R1's agitative state and other facility staff members were available to respond and render assistance. It was learned that R1 was subsequently seen by a responding ambulance before being sent out to the local hospital for further evaluation. Based on interviews, it was learned that aside from this incident involving R1 being aggressive and non compliant with changing R1's depends, it was learned that facility staff were available to assist if residents needed any assistance. It was learned that there weren't any other incidents related to the one involving R1 and staff having to intervene. As a result of this investigation, this Department found the allegations to be UNSUBSTANTIATED. A complaint allegations finding of Unsubstantiated meant that although the allegations may have happened or were valid, there was not a preponderance of the evidence to prove that the alleged violations occurred. There were no deficiencies observed or cited at this time. Exit Interview