Complaint Investigation Report

The investigation revealed the following:

Regarding allegation: "Inadequate staff supervision resulting in resident being assaulted by another residents." It is alleged that R1 has been assaulted by different residents and a night staff on separate occasions. Interviewed staff members denied the allegation and stated that they always have problems with R1. Staff members indicated that R1 was always drunk and blame other people for his drinking problems by making up stories. Interviews conducted with R2 and R8, stated that the allegation was untrue. R2 stated that he never accosted R1 nor grabbed and spilled his food. R8 stated that he never dragged R1 from his legs and tried to hit him. The investigation revealed that local law enforcement responded to the facility on the evening of 03/15/2023 regarding a resident (R1) that had a knife on the 2nd floor. S2 was doing her rounds and observed R1 inebriated in his wheelchair and was arguing with residents. S2 asked R1 to return to his room, and R1 fell asleep on the way to his room. At approximately 9:00pm, S2 received a call from the local Police Dept. regarding a resident that had a knife. S2 immediately responded and found other residents using a table to block R1 from attacking them with a 6-inch knife. R2-R5 who were witnesses to the incident stated that R1 woke up and became aggressive, produced a knife and R2-R3 started defending R4-R5 and themselves. R1 received a laceration on his nose due to a table used in defense. No one else was injured during the incident. Police then arrived on scene and subdued R1. Paramedics arrived shortly after and R1 was taken to the hospital for medical treatment. S1 stated that PD refused to take R1 into custody due to R1 being in a wheelchair, but police report indicated that R1 will be cited for assault with a deadly weapon. On 3/16/2023, R1 was discharged from the Hospital and returned to the facility. S1 stated that he has made several calls to R1's Social Worker to assist with new placement but was unsuccessful. W1 confirmed S1's statement and added that W1 was also active in looking for another place for R1. Files reviewed indicated that on 2/21/2023, the facility issued a 30-day eviction notice to R1 due to prior history of verbal and physical threats against other residents, staff, police and paramedics while inebriated. On 3/16/2023, R1 has been issued a 3-day eviction notice due to being a danger to himself and others and was approved by CCLD on 3/20/2023. On 03/22/23, R1 was moved out of the facility to a medical clinic . Interviewed residents stated that R1 was the aggressor physically and verbally. Some residents stated that they were never assaulted or was spoken inappropriately by other residents or staff. Based on statements and interviews conducted with residents and staff as well as reviewed files and documentation, there was not enough supportive evidence to corroborate the allegation.