Complaint Investigation Report

It was alleged that Client #1 (C1) was assaulted by an unnamed staff member. LPA interviewed three (3) clients who had no concerns of staff treatment and stated that they had not observed staff mistreat C1 or other clients. LPA interviewed three (3) staff members who stated that C1 was admitted to the facility on 03/06/2026 and reported on the same day to staff that C1 was assaulted by an unnamed staff member from C1’s previous facility on 03/05/2026. Staff stated that C1 then reported to staff on 03/07/2026 that they were assaulted on 03/06/2026 but could not provide details relating to the assailant, location, or time. LPA interviewed a responsible party of C1 and no evidence supporting the allegation was noted. LPA reviewed records and observed that C1 was a client at this facility from 03/06/2026-03/08/2026. LPA observed hospital discharge paperwork for C1 dated 03/06/2026, 03/07/2026, and 03/08/2026. The three (3) hospital visits had the visit reason listed as “sexual assault” however, no sexual assault forensic medical exam was administered to C1. C1’s admission agreement was signed and dated on 03/06/2026 at 05:22PM and records show that C1 left the facility to go to the hospital at 06:47PM and was discharged from their 03/06/2026 hospital visit at 10:27PM, meaning that they were at the facility for about one (1) hour and twenty-five (25) minutes on 03/06/2026 before going to the hospital. C1 was client for about five (5) hours during the time that they reported the assault to facility staff, went to the hospital, and was discharged back to the facility from the hospital. On 03/07/2026 after their second hospital visit, C1 was discharged back to the facility at 10:40PM. C1 was then admitted to the hospital for a higher level of care after C1’s third hospital visit on 03/08/2026. Based on interviews and record review, the Department does not have sufficient evidence to corroborate the allegation. Although the allegation may be valid, at this time there is insufficient evidence to support the allegation or that a violation occurred, therefore, the allegation “Resident was physically assaulted by staff while in care” is deemed UNSUBSTANTIATED at this time.

No deficiencies cited at this time. Exit interview conducted. A copy of the report was issued.