Complaint Investigation Report

Summary and Post Discharge Plan of care dated 7/5/2024, Identification and Emergency Information, Needs and services plan dated 7/5/2024, Physician's Report dated 7/2/2024.

Admissions Agreement dated 7/3/2024, Personal property valuables list dated 7/3/2024 , Staff and Resident rosters for 6/2024 and 4/2025, LPA also conducted interviews with Staff 1- Staff 10 (S1–S10) and

Residents 1 - Resident 10 (R1–R10), in addition to observations made during the tour of the facility.

1 Allegation: Staff handled residents in a rough manner which resulted in injuries

On 5/12/2025 at 11:00 AM, LPA conducted interviews with Staff 1 - Staff 10 (S1–S10) and Residents 1 - Resident 10 (R1–R10). The 10 staff members interviewed stated that residents have not been handled in a rough manner that could have resulted in injuries. LPA interviewed Residents 1 - 10 (R1–R10) Of the interviews conducted, 3 residents stated that staff members have not handled them in a rough manner causing injury. The remaining 7 residents were unable to engage in a clear conversation.

2 Allegation: Staff inappropriately restrained resident

LPA conducted interviews with Staff 1 - Staff 10 (S1–S10) and Residents 1 - 10 (R1–R10). All 10 staff members interviewed stated that residents have not been inappropriately restrained in any way. LPA requested any special incident reports during the visit, but none could be provided as there were no incidents to report regarding restraining residents. LPA interviewed Residents 1 - 10 (R1–R10) Of the interviews conducted, 3 residents stated that staff members have not restrained them in any way. The remaining 7 residents were unable to engage in a clear conversation.

3 Allegation: Staff did not provide a safe and comfortable environment for residents

LPA conducted interviews with Staff 1 - Staff 10 (S1–S10) and Residents 1 - 10 (R1–R10). All 10 staff members interviewed stated that staff provides a safe and comfortable environment for residents. LPA interviewed Residents 1 - 10 (R1–R10) Of the interviews conducted, 3 residents stated that staff members have provided a safe and comfortable environment . The remaining 7 residents were unable to engage in a clear conversation. During the tour of the facility, LPA observed that the residents were in a safe and comfortable environment, with no health and safety concerns noted.