Complaint Investigation Report

Allegation: Staff member handled resident in care in a rough manner.

Investigation revealed that Witness 1 (W1) stated Resident 1 (R1) has possible frontal lobe dementia with behavioral challenges. On 11/10/2024, R1 became agitated and began yelling racial slurs toward Staff 1 (S1) and threatening to kill staff. W1 reported that R1 would not calm down, and S1 placed their hand over R1’s mouth in an attempt to stop R1 from yelling.

On 11/21/2024 LPA interviewed S2 that stated R1 was yelling racial slurs at S1. S1 attempted to try to calm the matter and S1 covered R1’s mouth and then later called the police. S1 stated that R1 was placed on leave and later terminated after their internal investigation.

Allegation: Licensee does not ensure that required information is in areas of the facility accessible to residents, representatives, and the public.

Investigation revealed that W1 stated the ombudsman contact poster was missing from the facility. LPA’s observation confirmed that the ombudsman contact information poster was not posted in an area accessible to residents, representatives, and the public. S1 stated that R1 had torn the poster down from the wall.