Facility Evaluation Report

LPA Johnson arrived unannounced to follow-up on the 30 day notices submitted to two residents for various infractions.

During the investigation the department was able to determine that there were several incidents that should have been reported to the department as well as other local authorities. The department discovered that the facility did not report incidents detailed in the notices that were given to R1 and R3 to support the decisions to have these residents move out.

On or about 10/01/22, R1 was in a physical alter with another resident; staff S1 witnessed R1 "smack and scratch R2 after R2 turned out the lights in the resident lounge." Police were not called, no SOC 341 (REPORT OF SUSPECTED DEPENDENT ADULT/ELDER ABUSE ) submitted or an incident report to the department.

Again on 5/30/23 R1 rammed his wheelchair into R2 and assaulted R2 by punching him in the shoulder. R1 continued with a letter threatening to "beat R2 within inches of life." Police were not called, no SOC 341 submitted or an incident report to the department.

Additionally, on or about 3/23/23, R3 was in a verbal and physical altercation with R4; two staff witnessed R3 pull the walker of R4 and then kicked R4. The documentation does not say where R4 was kicked. Police were not called, no SOC 341 submitted or an incident report to the department.

The department has determined that the facility did not report incidents that are being identified as reasons along with other alleged incidents to deliver 30 day notices to R1 and R3. Based on the findings the facility did not report as mandated reporter incident of assaults on more than one occasion.