complaint·September 23, 2025

(Continued from 9099) LPA interviewed Administrator and S3 who both stated that S1 has never had any complaints against their care of residents. LPA was unable to interview R1. LPA conducted 5 interviews with staff and family member of R1 and found that there were no concerns or complaints from the 5 of 5 interviewees about the care that S1 provided. Based on the statements of interviewees and the service record of S1 the allegation that Staff violated resident’s personal rights is unsubstantiated. Although the allegation may have occurred there is not a preponderance of evidence therefore the allegation that Staff violated resident’s personal rights is UNSUBSTANTIATED The complaint alleges that Staff did not properly assist a resident during transfers. The complainant states that a caregiver (S2) is responsible for a resident (R2) falling and now has a full cast. LPA reviewed Incident Reports for a reported fall where a resident suffered a fracture and found no such report. LPA interviewed staff members, R2 and family member of R2. 5 of 5 interviewees stated that R2 had not suffered fracture due to fall of 6/21/2025. LPA interviewed R2 and family member of R2 and asked if Staff properly assist R2. They reported that staff assist R2 properly. LPA reviewed the personnel files for S2 and found that S2 had received all necessary trainings and had no disciplinary actions taken. Based on LPA’s review of medical records of S2, review of staff records, and interviews conducted LPA found the allegation that Staff did not properly assist a resident in transfers is unsubstantiated. Although the allegation may have occurred there is not a preponderance of evidence to substantiate the allegation therefore the allegation that Staff did not properly assist a resident in transfers is UNSUBSTANTIATED . NO DEFICIENCIES FOUND REGARDING THIS INVESTIGATION. NO CITATIONS ISSUED.