Complaint Investigation Report

As a result, although R1 sustained minor injuries due to a physical altercation, there is not a preponderance of evidence to conclude a lack of supervision or neglect of residents in care, therefore, this allegation is UNSUBSTANTIATED.

Allegation: Facility did not seek timely medical care for client’s injuries. LPA conducted interviews and record reviews as noted above. Based on interviews and record reviews conducted, it was revealed that on 3-8-2025, resident1 (R1) and R2 engaged in a physical altercation resulting in R1 sustaining minor injuries and requiring first aid and urgent care attention. Interviews and record reviews revealed R1 sustained minor injuries as a result of the altercation and required first aid and urgent care attention. Interviews conducted further revealed that on 3-8-25, staff on duty applied first aid techniques to R1 and Administrator transported R1 to urgent care for further evaluation. Interviews also revealed that R1 refused urgent care services upon arrival and was transported back to the facility by Administrator with instructions to staff for additional monitoring. As a result, there is not a preponderance of evidence to conclude facility did not perform timely medical care for client’s injuries, therefore, this allegation is UNSUBSTANTIATED.

A finding of 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 conducted with Licensee and a copy of this report was provided. Appeal rights provided.