Complaint Investigation Report

The investigation revealed the following:

Allegation: Staff yelled at another staff member in the presence of multiple residents.

It is being alleged that former Executive Director yelled at a staff in the presence of 2 residents in care.

On 03/29/25 from 1pm-3pm LPA conducted Interviews with S1-S7, 6 of 7 staff interviewed denied the allegation above, 1 of 7 staff interviewed confirmed the allegation above and reported that 2 staff members were arguing by the dinning room, and nothing was done to diffuse. On 3/25/25 and 03/29/25 LPA conducted interviews with R1-R5 regarding the allegation above, 4 of 5 residents interviewed denied the allegation above, 1 of 5 residents interviewed reported resident did not observe the allegation above, but the information was disclosed by peers.

Allegation: Staff made residents feel uncomfortable.

It is being alleged that residents felt uncomfortable due to staff yelling.

On 03/29/25 from 1pm-3pm LPA conducted Interviews with S1-S7, 7 of 7 staff interviewed denied the allegation above and reported treating all residents in care with respect and dignity. On 3/25/25 and 03/29/25 LPA conducted interviews with R1-R5 regarding the allegation above, 4 of 5 residents interviewed denied the allegation above and reported feeling safe around staff, 1 of 5 residents interviewed confirmed the allegation above and reported feeling uncomfortable as resident was yelled at by a facility staff.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

Exit interview conducted, and a copy of this report was provided.