Complaint Investigation Report

The administrator noted that a previous incident occurred between R1 and S1 in January 2025. No injuries were observed on R1 after the incidents, but the administrator issued a warning to S1. Interview with R1 at 12:00 p.m. today revealed S1 “socked [them] in the face”. Interview with Resident #2 (R2) at 12:10 p.m. today revealed they witnessed the alleged abuse. R2 stated S1 was assisting R1 in transferring from their bed to their wheelchair when R1 slipped. S1 then hit R1 and shoved them back onto the bed. Interview with Staff #2 (S2) at 12:25 p.m. today revealed S1 has abused residents in the past. S2 reported the abuse to their supervisors. Interview with Resident #3 (R3) at 12:40 p.m. today revealed S1 is physically and verbally “rough with residents” and has pushed them on two previous occasions. Interview with Resident #4 (R4) around 1:20 p.m. today confirmed S1 is “rough” with residents. Interview with S1 at 2:10 p.m. today revealed they have a difficult time working with R1 because they often resist care. S1 stated they never abused R1 and that R1 and R2 are dramatic. Based on interviews and record review, there is sufficient evidence to confirm that S1 physically abused R1. Therefore, the allegation is deemed SUBSTANTIATED at this time. A deficiency is cited on the LIC 9099-D page. An immediate civil penalty of $500 is issued on the LIC 421IM page for the physical abuse of a resident.

Exit interview conducted. Appeal rights discussed. Copy of report provided.