Incident investigation·January 5, 2024

Licensing Program Analyst (LPA) Martha Arroyo conducted an unannounced Case Management – Incident visit for the purpose of investigating a self-reported incident report and SOC 341. Upon arrival, the LPA met with Executive Director (ED), Margie Veis, and explained the reason for the visit. Entrance interview. On 01/02/2024, the Department received an incident report stating that on the morning of 01/01/2024, Staff #1 (S1) was assisting Resident #1 (R1) with dressing. R1 was resistant to care and became agitated. R1 slapped S1 across the face, causing S1’s glasses to fall off their face and in response, S1 slapped R1 across the face. Staff #2 (S2) witnessed the incident as they were inside the room assisting S1. During today’s visit, the LPA conducted a tour of the Memory Care Unit to ensure there are no health and safety concerns at 12:20 p.m., conducted interviews with the ED and two staff between 12:13 p.m. and 12:45 p.m., conducted a file review at 1:05 p.m., and obtained copies of pertinent documents relevant to the investigation. LPA has determined further investigation is needed and will return at a later date to continue. Exit interview conducted. A copy of the report was issued.