Complaint Investigation Report

Allegation: Staff handled residents in a physically inappropriate manner.

It is alleged that a Staff (S1) would clean and wipe residents with more force than normal that would lead to redness and some bleeding. It is alleged that S1 would turn a resident in a rough manner which led the resident hit the side rails with their face.

Based on interviews conducted, eleven out of twelve staff and one witness denied the allegation. One of twelve staff and four out of four residents could not confirm or deny the allegation. Staff stated they have not observed or heard of any staff being physically inappropriate. To the staff’s knowledge, S1 has not handled any resident that would lead to bleeding and redness or turn any resident that would led the resident to hit the side rails with their face. S3-S12 stated that S1 is a caring and hard worker, and if S1 did any of this, this would be reflected on body checks and the facility would have submitted reports to appropriate authorities. S1 stated they have never handled a resident in a physically inappropriate manner and would not clean and wipe any resident to the point of redness and bleeding. S1 also stated they have never turned a resident which resulted in the resident hitting the side rail with their face.

Based on record review, Incident reports submitted from May 2024 to the present do not reveal any residents having redness or bleeding due to staff cleaning or wiping residents. These same reports do not reveal any residents hitting the side rails with their face. There are no records from the facility that there were any staff receiving disciplinary actions for handling a resident in a physically inappropriate manner such as wiping or cleaning too rough that would lead to redness or bleeding or hitting the side rails with their face.

Based on observations on August 21, 2025, and January 8, 2026, LPA Kim did not observe any staff handling a resident in a physically inappropriate manner. LPA Kim observed residents were transferred and taken care of which did not lead to any redness and bleeding or turning residents that hit their face onto the side rail.

Based on the information gathered, there is no sufficient evidence gathered to confirm the above allegation. It is determined that eleven out of twelve staff denied that the staff handled residents in a rough manner. There are no records to indicate such an event occurred.