Facility Evaluation Report

05/21/2024 10:30 AM Licensing Program Analyst Rebecca Knight conducted an unannounced case management visit and met with Executive Director Stacey Baxter. Today’s visit is regarding an incident that occurred on 05/13/2025.

It was reported that on 05/14/2025 Staff 2 (S2) reported to Staff 3 (S3) and Staff 4 (S4) on 05/12/2025 that Staff 1 (S1) was verbally abusive toward Resident 1 (R1) and Resident 2 (R2). S1 was cursing and yelling at the two residents because they were not doing what she wanted them to do. In S2’s statement she stated that S1 had gotten R1 out of bed and wheeled R1 into the hallway, shoved their wheelchair, and told R1 to take themself to the dining room. Executive Director Stacey Baxter reviewed surveillance camera footage and confirmed that S1 shoved R1’s wheelchair into the hallway which caused R1 to roll almost into the wall. At this point another resident came out of their room and pushed R1 to the dining room. S1 came out of the room and walked right past both residents without acknowledging them. An internal investigation was conducted and the employee was terminated as a result.