Complaint Investigation Report

Due to R1’s frequent complaints, the Administrator relocated S1 and S2 to another facility to mitigate ongoing issues. R1 continued to complain about the replacement staff because they did not operate the same way S1 and S2 did. R1 was ultimately relocated to another facility operated by the same Licensee and Administrator, where it was reported that R1 was doing well and happier.

Physician’s Report dated 05/31/2026 documented diagnoses for R1 including schizophrenia, depression, bipolar disorder, and anxiety. Psychiatric visit summaries indicated R1 saw their psychiatrist once a month and experienced “persistent paranoia, anxiety, and inconsistent reporting of incidents involving facility staff.” R1’s paranoid behavior was worsening, and medications were adjusted or discontinued accordingly. Staff were to monitor R1 and maintain a calm, structured environment.

Based on interviews and record review, although the allegations may have happened or are valid, there is insufficient evidence to prove the violations did or did not occur; therefore, the allegations are deemed UNSUBSTANTIATED at this time.

No deficiency cited. Exit interview conducted. A copy of the report was reviewed and provided.