Complaint Investigation Report

The allegation of “Staff touched resident inappropriately” alleges that facility staff inappropriately touched Resident #1 (R1) when applying Medication #1 (M1) to R1’s groin area. LPA reviewed R1’s resident file and observed that R1 resides in the memory care wing of the facility and had a diagnosis of Dementia. LPA observed a previously valid prescription of M1 that was ordered on 12/30/2025. Additionally, LPA observed an order from R1’s physician dated 04/21/2026 ordering the discontinuation of M1 per R1’s Power of Attorney’s (POA)’s request. LPA interviewed MC who stated that they were aware of the allegation that staff had touched R1 inappropriately when administering M1 to R1’s groin. MC stated that the facility had conducted an internal investigation and found no evidence of wrongdoing by facility staff that were involved in providing care to R1. MC stated that M1 was ordered by R1’s physician to be applied but R1 refused application of M1 on each occasion that it was attempted. MC stated that they received an order from R1’s physician to discontinue the application of M1 and M1 was subsequently disposed of. LPA interviewed Staff #1 (S1) who was the staff member responsible for the application of M1 to R1. S1 stated that when M1 was originally ordered R1 was compliant with the daily application of M1. S1 stated that each time before the application of M1 they explained what the medication was and the procedure they were going to use to apply the medication. S1 stated that R1 began refusing the application of M1 after a change in the frequency of administration. S1 denied ever forcing R1 to have M1 applied. St denied ever touching R1 inappropriately during the administration of M1 and stated that M1 was applied as prescribed by R1's physician. LPA interviewed R1 who reported that they did not have any issues with the quality of care staff provide them. R1 stated that staff respect their personal space and boundaries. R1 stated that they were unaware if a staff member had ever touched them inappropriately, but they don’t believe it had happened. Although the allegation may have happened or is valid there is insufficient evidence to support the allegation of, “Staff touched resident inappropriately.” Therefore, the allegation is deemed Unsubstantiated at this time.