Complaint Investigation Report

It was also reported that the alleged physical abuse was not reported to facility staff. Staff interviewed did not observe any incident involving R1. Staff stated that R1 did not report any physical abuse.

Records reviewed revealed that R1 was admitted to the facility on 2/23/2024; medical assessment dated 2/03/2025 indicates R1’s cognitive abilities is limited; R1 lived in the facility memory unit.

Staff interviewed reported that R1 is currently in rehab for post fall treatment. R1 was unable to be interviewed. Information was received that R1 requires a higher level of care and will not be returning to the facility.

Random residents interviewed in the assisted living units expressed satisfaction with the staff. Residents reported that anytime there is a physical or verbal altercation staff are present and either redirect or contact law enforcement. LPA attempted to interview residents in the memory care unit however it was unsuccessful.

Based on the above information gathered although the allegation may be valid, there is insufficient evidence to support the allegation or that a violation occurred; therefore, the allegation “Staff did not prevent resident from attacking another resident in care” is deemed unsubstantiated at this time.

Exit interview conducted. A copy of the report was provided.