Incident investigation·October 8, 2024

Licensing Program Analyst (LPA) Manuel Monter conducted an unannounced follow up case management visit in regards an incident report, which stated a resident was allegedly pushed by a staff member. LPA's met with Administrator Holly Suiter. LPA's explained the purpose of the visit. On October 4, 2024, the Department received an incident report, regarding resident R1. The incident report stated on October 3, 2024, at approximately 9:30pm, staff responded to a residents behavior in a physical manner. Resident sustained skin tear to elbows, and discoloration to back of head. Staff who responded in physical manner was terminated. On October 8, 2024, LPA's interviewed staff S2 and resident R1. (The Case management dated October 7, 2024, is being amended due to erroneous error made in the LIC809.) LPA determined that the above incident requires further investigation. No deficiencies were cited at this time. This report was reviewed with Administrator Holly Suiter and a copy of the report was provided.