Complaint Investigation Report

A review of the Care Plan states R1 is suffering from dementia, depression, anxiety and schizophrenia. R1 has episodes of agitation and shouts at staff. A review of the Department’s records does not show an incident report was submitted around the time in question involving S1 and any form of abuse. During the physical plant tour, LPA did not observe signs of distress or abuse. During interviews, two (2) out of five (5) staff stated they overheard that S1 abuses R1 but have never witnessed it. All other staff stated they are not aware of S1 hitting R1 or any other resident. During interviews with residents, all residents stated they are not physically abused by staff.

Based on interviews, record review and observations, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.

--- Staff provides medical care that requires skilled professionals.

It was alleged that S1 uses needles and injects residents with their insulin and that S1 also pricks their fingers to measure blood sugar levels. To investigate the allegation, on February 18, 2026, LPA interviewed four (4) staff and five (5) residents from around 1:00p.m. – 3:00p.m. On July 8, 2026, LPA interviewed one (1) additional staff and one (1) additional resident at around 12:00p.m. During interviews, all staff, including S1, stated they do not inject resident with insulin or prick their fingers to check glucose levels. The administrator, Alise Nazarian, stated home health nurses are providing services if the resident is unable to perform the task themselves. During interviews, all residents stated they are not aware of S1 or any other facility staff injecting them with needles or checking blood sugar levels.

Based on interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.

No health and safety hazards noted during the visit.

Exit interview conducted and a copy of the report was issued.