Complaint Investigation Report

Regarding the allegation Staff did not prevent a resident from causing harm to other residents. Incident Report dated 03/13/2023 documents Resident 1 assaulted two other facility residents. LPA Hurt reviewed several text and email exchanges between facility Administrator and Resident 1’s Responsible Party documenting incidents of Resident 1 hitting other facility residents. Based on records reviewed the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED at this time.

Regarding the allegation Staff did not properly report incidents involving a resident. LPA Hurt reviewed medical records documenting Resident 1 was taken to the hospital on 02/06/2023, this incident was not reported to State Licensing. LPA Hurt observed text messages dated March 4, 2023 documenting Resident 1 assaulted another facility resident. This incident was not reported to State Licensing. This incident from March 4, 2023 was not reported to State Licensing. Based on records reviewed during this investigation the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED at this time.

Regarding the allegation Staff are not providing adequate care and supervision to a resident. LPA Hurt reviewed Incident Report dated 03/13/2023 documents Resident 1 assaulted two other facility residents. Staff 1 stated at times working alone with 4 residents providing all care and supervision, meals, and incontinent needs made it difficult to provide supervision. Based on records reviewed during this investigation the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED at this time.