Incident investigation·May 1, 2026

Licensing Program Analysts (LPA)s Brian Balisi and Martha Arroyo conducted an unannounced Case Management – Incident visit at approx 02:00 p.m. for the purpose of investigating self reported incident reports. Upon arrival LPA met with Administrator Iris Van Kralingen  and explained the reason for the visit. On 04/28/2026, the Regional Office received a self-reported incident which stated, on 04/24/2026, a family member of Resident #1 (R1), informed the Administrator that a staff fondled and touched R1 in a sexually inappropriate manner  while getting them ready at approx 07:00 a.m. on Friday morning. R1 was admitted into the facility on hospice on 04/17/2026 with a diagnosis of Alzheimer's. In addition it was reported that Staff #1 (S1) and Staff #2 (S2) were both present while assisting R1 from bed to wheel chair then from wheel chair to toilet. At approx 02:00 p.m. LPAs conducted physical plant, interviewed staff, clients, and a family member of resident in care. LPA's also reviewed and obtained copies of pertinent documentation relevant to the investigation. Based on interviews and records review no immediate or potential  health and safety concerns were observed during the visit and no deficiencies cited at this time. LPAs has determined further investigation is warranted at this time,  LPAs will return at a later date. Exit interview conducted. A copy of the report was issued.