Complaint Investigation Report

On 10/28/21 at 12:17 pm, LPA interviewed S3. S3 stated that “Two weeks ago, S1 was yelling at clients to ‘sit here and eat your food,” and S3 told the supervisor. On 10/28/21 at 12:31 pm, LPA inquired with S4. S4 describes S1 as “new to the job, one year” and that S1 “has said loudly to clients ‘eat your breakfast, take your toothbrush,” in a frustrated tone. S4 mentioned the incident to the supervisor. On 10/28/21 at 12:51 pm, LPA spoke with S5 who explains that S1 has a high tone and S5 has had to remind S1 how to talk with residents. S5 said S1 has gotten frustrated and S5 has talked with S1 five times and written-up S1 once. S5 says S1 is no longer employed with the facility effective 10/25/21.

On 11/02/21 at 9:00 am, LPA inquired with S6. S6 expresses that S6 recalls seeing S1 “forcing Resident #2’s (R2) head back, cursing and yelling at R2.” S6 states they spoke with the supervisor a few weeks prior regarding S1’s being “rough with clients.” On 11/04/21 at 1:15 pm, a credible Witness #1 (W1) asked S1 if S1 ever gets frustrated or pushes S1’s patience, and S1 replied “No, it’s not their fault.” LPA asked S1 if S1 has ever seen other staff yell or get rough with residents, and S1 says they have not heard anyone yell at residents and as far as getting rough, S1 says “No, I would report it to the supervisor.”

On 4/13/22, LPA reviewed facility records. Records indicate that S1 was counseled and written up for acting inappropriately with residents in care.

Based on interviews, the allegation that “Staff yell at residents,” is deemed Substantiated at this time. Interviews with staff show that S1 has been observed speaking to residents in a loud, frustrated tone. S1 has also been counseled on this behavior.

A copy of the report, deficiency, and appeal rights emailed to the administrator.