Complaint Investigation Report

The investigation consisted of the following: On 01/13/2026, Witness 1 (W1) was interviewed. On 01/14/2026, interviews were conducted, and records were reviewed. Staff 1 (S1) to Staff 4 (S4), Witness 2 (W2) to Witness 3 (W3), and Resident 1 (R1) were interviewed. Facility records were reviewed which consisted of Employee Roster; Resident Roster dated 01/14/2026; 2025 In-Service Staff Trainings which consisted of Hoyer Lift Training and Gait Belt Transferring dated 01/28/2025, Resident Rights dated 11/15/2025, Gait Belt and Proper Body Mechanics Training dated 12/01/2025, Resident Rights dated 12/19/2025, and Transferring and Gait Belt Transfers dated 12/23/2025. R1’s records were reviewed which consisted of Physicians Report dated 12/04/2023; Resident Appraisal dated 01/13/2026; Identification And Emergency Information dated 07/07/2024; and Service Assessment Form dated 01/13/2026.