Complaint Investigation Report

Allegation: Neglect and lack of supervision sustaining severe injuries while in care

On March 17, 2022 C1 and C5 had an altercation, C1 was physically aggressive towards C5. S2 tried to prevent the C1 from attacking C5 by blocking C1. S5 was protecting C5 from the room entrance way to protect him from being attacked. S1 arrived shortly after and was verbally calm down C1 and escort out of the facility without physical force. Medical records reviewed C1 sustained abrasion and elbow fracture requiring soft splint, however based on interview with clients revealed that they did not witnessed staff physical restrained or harm C1. Staff denied physically restraining or harming C1.

Allegation: Staff did not prevent residents from engaging in physical altercation

Based on investigation, S1, S2 and S5 was present during the physical altercation between C1 and C5. S1 & S2 verbally redirect C1 while S5 was with C5 protecting him from being attacked.

Allegation: Staff handled residents in a rough manner

Based on interview with clients revealed that they did not witnessed staff physical restrained or harm C1. Staff denied physically restraining or harming C1.

Allegation: Staff did not prevent resident from making threatening comments towards another resident

Based on investigation, S1, S2 and S5 was present during the physical altercation between C1 and C5, based on interview staff S2 and S5 talked to C1 and verbally redirect him from making threatening comments towards another resident.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did occur, therefore the allegations are unsubstantiated.

No deficiencies cited. Exit Interview conducted and a copy of this report provided.