Complaint Investigation Report

Staff did not treat residents with dignity and respect

Regarding the allegation "Staff did not treat residents with dignity and respect" it was alleged S1 yells at residents in a disrespectful manner. Interview with S2 revealed S1 cares for residents but is loud and aggressive. Interviews with Staff #3 (S3) at 12:15 p.m. and Staff #4 (S4) at 12:30 p.m. today revealed they have been treated disrespectfully by S1 and overheard S1 being disrespectful to residents. S3 noted that they reported the issues to the administrator. Record review of S1’s facility file revealed they were given two (02) written warnings for misconduct by the administrator. The first warning was issued on 04/27/22 in which S1 was observed “shouting and verbally abusing” a resident in the shower. The second warning was issued on 02/10/25. The second warning noted that after several warnings, this was to be a final written warning. The warning was issued for “attitude, behavior, and aggressive communications” on 02/07/25 towards a staff and a resident, Resident #2 (R2). Interviews with R2 at 12:40 p.m. and Resident #3 (R3) at 1:10 p.m. today revealed they have both been treated disrespectfully by S1. Based on record review and interviews, multiple residents and staff noted S1’s disrespectful treatment towards residents. The facility is aware of S1’s disrespect and has issued multiple warnings to S1. Therefore, the allegation is deemed SUBSTANTIATED at this time. A deficiency is issued on the corresponding LIC 9099-D page.

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