Complaint Investigation Report

R2 and R3 both denied that staff had ever poured or thrown water on residents. R3 she said they receive bed baths and that the water may sometimes feel cold but stated that staff have never intentionally thrown water on them.

The facility administrator denied the allegation and reported no concerns related to staff throwing water on residents. The Sutter PACE nurse and medical social worker both reported that they were not aware of any such incidents and had not observed any concerns during their regular visits.

RPP1 reported that R1 had previously stated that someone had been rough with R1; however, RPP1 also acknowledged that R1 experiences delusions, embellishes events, and has cognitive impairment, and RPP1 did not personally witness any incident involving water and has never physically been in the facility.

A review of facility records did not identify any documentation of incidents, injuries, complaints or reports related to staff throwing water on residents.

Based on these interviews and records reviews there is no corroboration of this allegation. The statements obtained do not support that staff threw water on a resident. The preponderance of evidence standard is not met for this allegation. Therefore, the above allegation is found to be UNSUBSTANTIATED.

Interviews were conducted with the alleged victim (R1), two additional residents (R2 and R3), the facility administrator, a Sutter PACE nurse, a Sutter PACE medical social worker, and the responsible party (RPP1).

R1 did not recall that any staff member slapped them and responded with uncertainty (“I don’t know” or “I wish I knew”) when asked about physical harm. R2 and R3 both denied that any staff member had ever hit, slapped, or physically harmed residents. R3 specifically stated that no staff member had ever hurt them at the facility.

The facility administrator denied the allegation and reported no concerns of physical abuse. The Sutter PACE nurse and medical social worker, both of whom have regular contact with the resident and the facility, stated that they were not aware of any physical abuse and did not believe the allegation occurred.