Complaint Investigation Report

LPA Manuel Monter interviewed staff S1-S8. 8 Out of 8 Staff (S1-S8) stated they have never seen staff handling residents in a rough manner.

On December 5, 2025, LPA Manuel Monter interviewed residents R10-R12. 3 Out of 3 residents (R10- R12) stated they have not seen or heard about any instance of the staff handling residents in a rough manner.

On December 5, 2025, LPA Manuel Monter interviewed staff S9-S16. 4 Out of 8 Staff (S9 S14-S16) stated they haven’t seen any instance of staff being rough with residents when providing care.

S10 stated he/she has seen staff being rough with residents when proving care. S10 stated he/she has seen staff pulling the residents to hard and grabbing too hard. S10 stated its an ongoing issue that continues to occur. S10 stated he/she can’t say for certain who it was he/she observed since he/she has seen multiple staff being rough when providing care.

S11 stated he/she has seen staff S7 handling residents in a rough manner, every time he/she works at the facility. S11 stated S7 grabs residents and pulls their shirt or squeezes their arms with too much force. S11 stated when S7 is rough, the residents yell out “ouch”. S11 stated all of the staff are rough, stating, “its all of them.” S11 stated it happens anytime he/she notices the other staff giving care. S11 stated he/she has also seen the staff, when changing the residents will toss the residents, without a care. LPA asked a follow up questions regarding details of these events; but Staff S11 would only speak about the staff as a whole and didn’t provide a response.

Staff S12 and S13 stated they have seen S7 being rough with residents, by grabbing residents’ arms or shirt and pulling them with too much force. S12 and S13 stated after LPA’s visit, S7 has not been doing this since.