Complaint Investigation Report

LPA conducted a record review and observed R1 no longer residing at this facility. LPA’s attempt to review R1’s resident file was unsuccessful due to expiration of record retention periods. LPA conducted an interview with Staff #1 (S1) who stated that R1 had a behavioral episode and swung at Staff #2 (S2). R1’s hand hit a dresser after missing S2 which resulted in bruising and skin tears. LPA attempted to interview S2, but S2 was unavailable for an interview due to being on personal leave. LPA conducted interviews with four (4) current residents, all of whom stated that all staff members have been respectful and provided intervention whenever necessary. None of the four (4) residents interviewed ever witnessed staff members causing injuries to residents in care. The Department’s investigation did not provide enough information to corroborate the allegation that staff caused injury to resident. Based on records review and interviews conducted, this allegation is unsubstantiated.

A finding that the complaint is UNSUBSTANTIATED means the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred.

An exit interview was not conducted as the facility has been closed since 08-26-2025. A copy of this report was sent to the ex-licensee’s last known address via USPS certified mail due to the facility closure.