Complaint Investigation Report

Regarding the allegation Facility staff engaged in a verbal altercation with a resident. Witness 1 stated they were called to assist at the facility, when they arrived they spoke with a facility caretaker who requested they take the resident’s phone. Witness 1 stated they spoke with the resident, who seemed to be coherent and was just saying they didn’t want to be at the facility because they weren’t being treated right and they wanted to go to the hospital. Witness 1 stated they witnessed the caregiver trying to rip the phone from the resident’s hand. Witness 1 stated caregiver then made a phone call and then the caregiver stated the Resident’s daughter told the caregiver to take the phone away from the resident. Witness 1 again stated they weren’t going to take the phone away as it was the residents’ only line of communication. Witness 1 stated they then witnessed the Emergency Medical Services (EMS) staff take the phone away from the resident and the caregiver then came and picked it up where EMS staff set it down. Based on interviews conducted 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 Facility staff left resident in urine-soaked clothing for an extended period of time. LPA Hurt conducted interviews with several witnesses who stated they observed residents in clothing that appeared to be soaked in urine for extended periods of time. Based on interviews conducted during this investigation, the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED at this time.

The following deficiencies are being cited Per Title 22 Regulations.

Exit interview conducted with Assistant Administrator, Airen Miro, and a copy of this report along with appeals rights provided.