complaint·June 7, 2024

Resident R1 stated R2 came running and hit R1. R1 stated R2 had pushed him/her and hit him/her on the head, shoulder, and spine. Resident R2 stated he/she started walking towards the home to go inside. R2 stated R1 then got in front of R1 and they bumped into each other. R2 stated when R1 bumped into R2, R1 fell down. R2 denies pushing R1. On May 16, 2024 and June 5, 2024, LPA interviewed 3 staff (S1-S3) and facility ADM. 3 Out of 3 staff and facility ADM stated they did not witness the R2 pushing R1. ADM stated the alleged altercation occurred during dinner time, while he was in his office. Staff S1 stated he/she was in the medication room prepare medications for the 5pm pass out. Staff S2 stated he/she was in the kitchen preparing the food for the second seating and was keeping an eye on dinning residents. S3 stated he/she was in the laundry room. All staff interviewed stated they did not hear residents R1 or R2 yelling, arguing or screaming prior to the alleged incident. ADM stated he was informed by R1 that he/she was pushed by R2. ADM stated he assessed the resident and called 911, following his fall protocol. ADM stated R1 had returned from the hospital the same day with no new orders. Based on record review, there is no history of physical altercations between resident R1 and R2. Although R1 falling is a fact, based on interviews conducted, this incident was caused by R1 and R2 bumping into each other, was an accident. As this incident happened in a split moment, with no prior audio ques, facility staff could not feasibly prevent resident R2 from accidentally bumping into R1. Facility staff also responded immediately once they became aware of the alleged incident and sought timely medical attention for R1, per facility policies. Page 2 Out of 3. The Department has completed the investigation of the above allegations. Based on interviews conducted and records review, the department has found that the above allegations were UNFOUNDED , meaning that the allegations were false, could not have happened and/or are without a reasonable basis. No deficiencies cited, an exit interview conducted with Administrator, Sam Apostol and a copy of the report was provided. END OF REPORT. Page 3 Out of 3.