complaint·March 11, 2025

LPA investigated the allegation, “Resident sustained multiple unexplained injuries while in care.” Based on interviews and record review, it was observed that R1 had a diagnosis of dementia. R1 was resistant to care and tended to be combative towards staff. R1 had pushed and hit staff while they were provided care. R1 had staff in a choke hold forcing staff to pry R1’s arms away to get lose from the choke hold. R1 had marks on his arms due to staff trying to free themselves from the choke hold while staff stepped in to calm R1 so he could release the staff member. LPA found that R1’s care plan was followed as directed by resident appraisal. LPA investigated the allegation, “Staff did not meet resident’s incontinence needs.” Based on interviews conducted, residents stated that staff were providing care in a professional manner and did not express any concerns. Staff stated that they were assisting R1 with toileting needs before and after meals. Staff had difficulty at times with R1 due to resident being combative. Resident interviews indicated their satisfaction with their care needs. LPA investigated the allegation, “Staff did not meet resident’s hygiene needs.” Based on interviews conducted, resident and staff indicated that the residents receive sufficient care with bathing, grooming, and hygiene. LPA observed records documented showing R1 receiving showers and being combative with staff. During showers there were two staff bathing R1 at time of showers to help resident with their hygiene needs. Based on interviews conducted and observations, the preponderance of evidence standards have not been met. Therefore, the above allegations are found to be UNSUBSTANTIATED. Findings that the complaint is Unsubstantiated means that, although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted, and a copy of the report was provided.