Complaint Investigation Report

Witness 1 (W1) stated on 11/11/2023, they observed C1 had mittens on, and after taking them off, they observed C1’s wrist and neck to be dislocated. W1 believed staff “yanked” on C1 in a rough or physically abuse manner, resulting in the injuries. W1 stated C1’s wrist was also red, and provided photographs taken. Investigator reviewed the photographs and observed slight redness to the right wrist. W1 stated C1 has a habit of sitting on their hands and rocking back and forth. W1 touched C1’s right wrist and C1 did not appear to be in pain. C1 also picked up a hamburger with their hands and ate a few bites during the visit. W1 stated they had concerns about C1’s neck but did not believe it was dislocated. However, W1 stated C1’s posture has worsened over time and C1’s neck faces down while seated. W1 stated during the visit, C1 was able to walk on their own and seemed to be enjoying themselves. W1 also stated they did not have concerns that C1 was being physically abused, but believed the redness on the wrist could be caused by staff grabbing C1. W1 stated the administrator indicated the redness was due to a lotion used on C1’s wrists, and C1 wears mittens for their own protection.

C1’s conservator stated they visit C1 at the facility on a quarterly basis and is familiar with C1, their needs, the facility and the staff. C1’s conservator had no concerns about C1’s safety at the facility and believes all C1’s needs are being met. C1’s conservator stated no recent injuries had been reported to them.

The investigation did not reveal any documents or incident reports suggesting C1 had a dislocated wrist or neck. Administrator also stated C1 never had a dislocated wrist or neck while at the facility. Administrator provided medical paperwork with X-Ray showing C1 had no dislocation or fracture present.

Based on the information obtained, there was insufficient evidence to prove the allegation above. Therefore it is deemed Unsubstantiated at this time.

Exit interview conducted and report printed for Executive Director.