complaint·May 23, 2025

including multiple lumbar fractures and osteoporosis. Interviews revealed that R1 suffers from chronic pain, particularly in their back. On 05/11/2025, R1 was being transferred by 2 (two) facility staff when R1 reported pain in their arm/upper back. R1 reported Staff #1 (S1) had caused the pain. Interview revealed that staff always use a 2-person transfer when working with R1 and that at the time of the alleged injury, 2 (two) staff were present. Interview also revealed that R1 had made similar allegations whenever a new staff began working with R1, which has occurred at least 4 (four) times since R1 has lived at the facility. LPA and investigator observed staff transferring a resident during today's visit and at no time did the staff hold or pull on the resident's arms, as is alleged in the complaint. R1's family member stated that they have personally witnessed S1 transfer and provide care to R1 and has no concerns with S1 or any of the staff at the facility. LPA reviewed training records for 3 (three) staff. All training records were complete and all training is in compliance with Title 22 Regulations. The information obtained during the investigation did not include evidence sufficient to corroborate the allegation, therefore the allegation is deemed Unsubstantiated at this time. No citations issued. Exit interview conducted. A copy of today's report was provided.