complaint·July 11, 2025

Continued from LIC9099 not show any other incidents involving R2 with other residents. Per interview with staff involved, R2 walked into R1’s room three to four times but staff was able to be verbally redirect R2. The fourth time, while staff was in the room, R2 punched R1 in the eye and then left. Staff did not observe R2 hit R1 in any other part of their body. Staff requested assistance by the Medication Technician and R1 was assessed approximately an hour later by a hospice nurse and was treated for their eye. Per interview with the Executive Director, R2 has had medication changes and increased supervision due to their behaviors since this incident. Witnesses have reported seeing R2 the facility without staff, however, LPAs observed R2 with supervision during visits on 5/6/2025, 6/4/2025, and 07/11/2025. Based on document review, interviews conducted, and observations made, this allegation is Unsubstantiated . A finding that the complaint allegation is Unsubstantiated means that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. Exit interview conducted. Copy of report discussed and provided to Executive Director. Signature on form confirms receipt of documents.