Complaint Investigation Report, 08/14/2024 — Crofton Manor Inn, Long Beach CA

Allegation #1: Staff Retaliation Against Resident in Care

A resident alleged that they had been physically and psychologically abused by another resident and that the administrator failed to report the abuse. The resident stated that this abuse has been ongoing for two years and that the administrator has been notified of these incidents multiple times over the years. The resident informed the Ombudsman that the facility took no action to prevent further abuse.

Staff members S1-S2 stated that there is no retaliation against the resident in care and that they have gone above and beyond to assist the resident. They also confirmed that they have communicated with the resident's families or responsible parties, Community Care Licensing, and all appropriate agencies in a timely manner regarding the above incident.

Resident R1 reported enjoying living at the facility, finding 99% of the staff to be helpful and accommodating. R1 recounted a recent incident that occurred outside of the facility involving Resident R2, where R2 had a history of taunting R1. R1 claimed that they informed the staff, who then informed management, but felt that no action was taken to remove R2 from the facility due to R2's behavior.

R1 explained that Administrator S1 is involved in every incident and that both R1-R2 have been counseled by S1 regarding their behaviors. S1 suggested that R1 document the dates and times of each incident, but R1 found this too time-consuming and did not record any of the incidents involving R2. R1 acknowledged that facility staff have been responsive and did not believe that a lack of supervision was the cause of these incidents. R1 expressed frustration that R2 remains at the facility.

R1 mentioned that law enforcement had been dispatched for several incidents involving R2, with S1 assisting in notifying the authorities. R1 refused medical treatment for each incident involving R2, as there were no major physical injuries. R1 stated that S1 had offered to move R1 to a different floor, but R1 declined the offer.