Complaint Investigation Report

Allegation regarding: Staff not providing adequate supervision resulting in resident-on-resident altercation. The investigation revealed the following: S2 during LPA interview conducted informed LPA S2 was passing by R1 and R7 room when hearing an argument between roommates and S2 approached room to see what was occurring. (5) out of (5) interviews conducted informed LPA staff do resident room checks throughout the day and intervene between residents when altercations occur. During interview with R1 conducted on 1/5/23 R1 stated facility did the best they can and roommates were separated into different rooms. R7 denied altercation occurring between self and R1. (5) out of )7) resident interviews informed LPA that facility staff provide adequate supervision and assist residents when altercations arise between residents. It was reported with interview by Hospital staff that are R1 stated to them during hospital visit that staff member walked into residents room were altercation took place and broke up altercation. LPA Calderon reviewed Special Incident Report (SIR) dated 9/29/23 per report: R1 and R7 were involved in an verbal altercation in the AM and S2 observed altercation and S2 as approaching situation observed R2 hitting R1. Action conducted by S2 was to provide first aid to R1 and R1 was taken to the hospital and once R1 returned to the facility after hospital discharge R1 was offered to move rooms. Record review on SOC 341 provided to LPA completed by Assistant Administrator was reviewed and submitted to licensing in a timely manner with SIR, SOC states R1 and R7 were roommates and due to altercation resident's became ex-roommates. LPA reviewed Skin Integrity Report regarding R1 and states staff S2 assisted with care due to injury sustained during altercation.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegations are UNSUBSTANTIATED.

Exit interview was conducted and a copy of this report was provided.