Facility Evaluation Report

On 11/13/2025, Licensing Program Analyst (LPA) Murial Han conducted an unannounced case management visit to deliver the finding of an incident that was reported by the facility. LPA met with administrator, Brian Raimundo and explained the purpose of today's visit.

On 10/9/2025, the facility reported that staff #1 (S1) witnessed staff #2 (S2) and staff #3 (S3) holding resident #1 (R1)'s arms down in bed while forcing R1 to take medicine.

LPA attempted to interview R1 and R1 did not remember the incident and was not able to answer LPA's questions due to R1's diagnosis.

LPA interviewed S1 who stated that on the day of the incident, she was working on the Assisting Living Unit and was called to assist the Memory Care Unit. When she got off the elevator, she heard R1 screaming in the room and when she got to the room, she witnessed S2 and S3 were holding R1's arms while forcing R1 to take the medicine.

LPA interviewed S2 who stated that on the day of the incident, R1 did not want to take the medicine and R1 was attempting to hit S3 while S3 was trying to give the medicine so S2 assisted S3 by holding down R1's arms while R1 was in bed. S2 stated that R1 needed to take the medicine so R1 would not hit other people.

LPA requested to interview S3 but S3 did not return call.