Complaint Investigation Report

The allegation of “Physical Abuse” alleges that staff #1 (S1) pushed resident #1 (R1) causing R1 to fall and hit their head. LPA interviewed the Administrator, the Assistant Administrator, S1, and R1. Parties interviewed stated that the incident between S1 and R1 occurred in the evening hours of 05/07/2025 at approximately 10:00 PM. R1 reported that during the evening of 05/07/2025 they felt as though the temperature in their room was too hot. R1 stated that S1 came into their room and R1 asked for the temperature to be turned down. R1 stated that they and S1 got into an argument because R1 did not want S1 in their room. R1 stated that S1 reached up with both hands and shoved R1 on the shoulders which caused R1 to fall backwards hitting the back of their chair and hitting their head on the wall. R1 reported suffering a “Bump” on the back of their head and two (2) bruises, one (1) on each of their arms.

The interview with S1 revealed S1 recalled the incident and reported hearing noises coming from R1’s room in the evening of 05/07/2025. S1 stated that they approached R1’s room and opened the door. S1 stated that R1 approached them aggressively and grabbed S1 by the shoulders and screamed "It’s so hot turn the AC on!" S1 stated that they replied that they would but R1 continued screaming and would not let go of S1’s shoulders. S1 stated that they broke free of R1’s grip by pushing R1’s elbows. S1 denied R1 falling from this contact. S1 stated that once they were free from R1’s grip they closed the door to R1’s room to prevent R1 from approaching them again. S1 reported holding the door closed and hearing a thump from the other side of the door after a moment. S1 reported opening the door and observing R1 sitting on the floor with their back against the back of their chair. S1 contacted emergency services and the facility Administrator.