Facility Evaluation Report

Licensing Program Analyst (LPA) Talwinder Bains arrived at the facility unannounced on 03/27/25 to do case management visit . LPA met with Executive Assistant, Ellaina Canady and explained the purpose of the visit.

Incident for Resident, R1 - Department followed up on SOC 341 sent by facility on 03/25/25 stating staff (S1) reported to the management on 03/20/25 around 6 pm that S1 witnessed that staff S2 and S3 were rough and verbally abusive to resident, R1 while S2 and S3 were providing care to R1 during morning shift on 03/20/25. Facility notified R1s physician, LTCO and responsible party regarding this incident. Facility Nurse checked R1 for any injurers on 03/21/25 morning and none were present. SOC341 also indicating that during facility’s internal investigation, S2 ad S3 denied any wrongdoings and provided their written statements however S1 resigned from their position.

Department conducted interviews with resident ,R1 and staff (S2,S3, S4) during today's visit.

At this time, this incident is under review and department will do follow up if warranted.

No citations were issued per Title 22 Regulations.

Exit interview conducted and copy of the report left at facility.